Request a Speaker or Event Participation
Please complete the form below to request a Xerces Society presentation at your event. Xerces will review your request and contact you within 2-4 weeks.

**Since we receive many requests for speakers, please understand that we are only able to participate in a limited number of events.
**We are unable to accept tabling invitations.
**We typically need at least three months advance notice for new requests.
Contact Name *
Your answer
Email Address *
Your answer
Phone Number *
Your answer
Event Name *
Your answer
Group hosting the event *
What organization or agency do you represent?
Your answer
Event Date *
If a date is not scheduled for the event, please note the expected month and/or time of year the event will take place.
MM
/
DD
/
YYYY
Event Time *
If a time is not scheduled for the event, please note the approximate time of day the event will take place
Time
:
Event Duration *
Please give us an approximate length of time for the event
Hrs
:
Min
:
Sec
Event Location (city, state) *
Your answer
Topic *
Please select all that apply
Required
Description of talk or tabling opportunity
Please describe the desired presentation or tabling topic in greater detail
Your answer
Length of talk or tabling time *
The Xerces Society can provide presentations from an hour in length to a full day training, depending on the topic and audience.
Who is your audience for this event? *
i.e., farmers, agricultural support staff, gardeners, land managers, students, general public, etc
Your answer
How many people do you expect will attend the presentation or event? *
Your answer
Do you have any funding available to help cover Xerces staff time and/or travel expenses? *
Your answer
Is there any additional information we should know about this event?
Your answer
Have you been in contact with a Xerces Society staff member about this event? *
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