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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DD
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YYYY
Time
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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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