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Request a Speaker
Please use this form to request a speaker for your event.
For additional information, please contact Anastasia Lim.
Email:
anastasia.lim@ualberta.ca
Phone: 780-248-1383
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* Indicates required question
Tell us about you.
First Name
*
Your answer
Last Name
*
Your answer
Organization
*
Your answer
Email
*
Your answer
Phone Number
*
Your answer
Event Date
*
MM
/
DD
/
YYYY
Event Time
Time
:
AM
PM
Event Location
*
Your answer
Which speaker and/or topic would you like to request?
First Choice
*
Your answer
Second Choice
Your answer
Third Choice
Your answer
Once we review your completed request form, we'll contact you about booking a speaker.
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