SPEAKER REQUEST FORM
Please complete the following form to begin the process of confirming a Lemur Conservation Foundation speaker for your organization.  We will do our best to find you a speaker, however; scheduling is based on the availability of staff and volunteers.

COST:
An honorarium is welcome.

REQUEST TIMELINE:
Please understand when requesting a speaker we need at least one month notice.  

CONTACT:
Any additional questions should be directed to LCF's Education Manager at akoproject@lemurreserve.org.
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Name of Organization *
Brief description of organization and its membership (include website if applicable) *
Full name and title of person making request *
Your phone number *
Your email *
Which topics interest your group? *
Required
Preferred presentation date *
MM
/
DD
/
YYYY
Is there any flexibility with the selected date above? *
Alternate Date(s): Please list any alternative date information below in order for us to best help provide you with a speaker.
Description of event: Let us know what kind of event this is (meeting, class, luncheon, etc.) and other relevant details (how long the event goes, etc.). *
Will LCF be the only presenter? *
If there will be other presenters, please list the names and affiliations of the other speakers.
Number of people expected to attend *
Venue name and address *
Please indicate what AV equipment will be available at the location (mark all that apply) *
Required
Are you able to pay an honorarium of $200.00?
In order for staff to take time from their conservation duties - we request a $200.00 honorarium to benefit the Lemur Conservation Foundation's programs.  Depending on the location of the event and time of presentation - travel and accommodation costs may be required as well.
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