Donate Life North Carolina Speaker Request
As your organization plans its meeting calendar, please think of Donate Life NC and the thousands of people who are on the waiting list for an organ, eye or tissue transplant. Speakers from the community who have been touched by donation are available to speak to church, school, civic or any public groups.

Each program is customized to fit the agenda of the respective group. To schedule a free and informative presentation, please fill out the form below!

Please complete this form at least two weeks prior to your event.

Name of Organization *
Your answer
Event Sponsor(s)
Your answer
Type of Organization *
Point of Contact - Name, email, and address *
Your answer
Next
Never submit passwords through Google Forms.
This form was created inside of Donate Life North Carolina. Report Abuse - Terms of Service