Santa Clara Valley Beekeepers Guild Speaker Request Form
Thank you for contacting the Santa Clara Valley Beekeepers Guild's Educational Outreach
and Speakers Bureau.

Please provide contact information and answer the questions below so we can plan for your event.

After receiving this information, a speaker coordinator will contact you to make final arrangements.

Please note that we require a 3 week notice for any speaker request.

Email address
First and Last Name
Your answer
Name of Organization or School
Your answer
Preferred Phone Number
Your answer
1. What is the proposed date and time of your event?
MM
/
DD
/
YYYY
Time
:
2. How long will the speaker be presenting?
Required
3. Where will the event will be held? (street address, city, zip)
Your answer
5. Is this request for a school?
6. If yes, what grade/age?
Your answer
7. How many students?
Your answer
8. Is this request for an organization, corporation, service group, etc?
10. How many people will be attending?
Your answer
11. What speaking format is most appropriate?
12. Do you have audio and projection equipment available?
13. May the beekeeper offer their own honey for sale?
14. Does your organization pay an honoraria?
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