NWHM Speaker Request Form
Please complete this form to request a representative of the National Women's History Museum to speak at your event. This form must be received by the NWHM offices at least 60 days before the engagement. (For events related to Women's History Month, please consider submitting a request well in advance.) As a nonprofit organization, the NWHM requests an honorarium of $250 to accommodate the speaker's time. Payment must be received no later than the day of the scheduled event. Travel, meals, and lodging expenses must be compensated by the requesting organization for any events located 100 miles or more from the Museum's Alexandria, Virginia-based administrative offices. The National Women's History Museum is a nonprofit, nonpartisan charitable organization.
Contact Name *
Your answer
Name of Company or Organization *
Your answer
Name of Event *
Your answer
Contact Phone Number *
Your answer
Mailing Address *
Your answer
Topic for Presentation *
Your answer
Date of Event *
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Time of Event (beginning and ending) *
Time
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Event Location (city, state and hotel/venue) *
Your answer
Length of Presentation *
Your answer
Audience Size *
Your answer
Describe the audience *
Your answer
A/V equipment available? *
Internet access available? *
Will the event be filmed? *
Is an exhibitor table available for promotional/informational product? *
Other comments/notes
Your answer
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