Aga Khan Foundation Canada (AKFC) - Book a Speaker in Your City
Use this form to send a request to AKFC's volunteer speaker bureau.
Organization and Contact Information
Organization Name *
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City *
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Province *
Location of Presentation *
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Contact Person *
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Title/Position *
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Contact Number *
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Email *
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How did you hear about this program? *
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Audience and Presentation
Type of Audience *
e.g. students, professionals, youth, educators, etc.
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Estimated Number in Audience *
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Preferred Date and Time of Presentation *
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YYYY
Time
:
Alternate Date and Time of Presentation *
MM
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DD
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YYYY
Time
:
Preferred Speaker
Preferred Length of Presentation *
Hrs
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Min
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Sec
Preferred Presentation Language *
Please give a brief description of the event and/or activity. *
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Is this a Canada 150 event? *
Any other comments:
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