Request a Conservancy Speaker
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Organization Name *
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Address of Event *
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Primary Contact - First Name *
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Primary Contact - Last Name *
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Primary Contact - email *
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Primary Contact - Phone Number *
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Alternate Contact (optional)
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What is the best way to contact you? *
Presentation Date Preference *
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Presentation Start Time Preference *
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Presentation Length *
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Presentation Topic preference *
How many attendees do you expect at this presentation? *
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Do you have a projector our speaker can use? *
Do you have a laptop our speaker can use? *
Do you have a projection screen our speaker can use? *
Do you have an audio system (microphone) our speaker can use? *
Anything else we should know about your group or this event? *
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