Speaking Engagement Request
Please fill out the form below to request a member of the Permian Strategic Partnership leadership team to attend a conference, panel or other speaking engagement. You will hear from a member of our team shortly after submission.
Email address *
Name of Organization *
Your answer
Name of Event *
Your answer
Event Date *
MM
/
DD
/
YYYY
Event Time *
Time
:
Event Location *
Your answer
Summary of Event *
Your answer
Topic(s) Speaker Can Expect to Address *
Your answer
Will there be other speakers? Please provide additional names if applicable. *
Your answer
Expected Audience Size and Makeup *
Your answer
Will questions be taken from the audience? *
Will elected officials be in attendance? If so, please provide names and titles. *
Your answer
Will the event be recorded? *
Sample Question(s) for Speaker
Your answer
Contact Information *
Your answer
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