Complete this form to request a Speakers' Bureau presentation. Please note presentations are fulfilled on a first-come,
first-served basis. Submitting a request does not guarantee a presenter can attend your event. However, submitting three
weeks or more in advance will improve our ability to accommodate your needs. You will receive an e-mail or phone call
accepting or declining your invitation within 7-10 business days of submitting this request. You will also receive a
confirmation number for request tracking purposes.
IMPORTANT: All Speakers’ Bureau presentations have been prepared for general community audiences unless otherwise noted on
the Speakers’ Bureau webpage. If you
require a presentation that’s intended for health professionals and other clinical audiences, please make a note of this in the
comments section of the request form and provide specific information about the audience type you’d like us to serve through the
presentation. Once again, submitting a request does not guarantee a presenter can attend your event.
If you are experiencing technical issues using this form, please download the
PDF version of the request form and
submit it by email to firstname.lastname@example.org. Thank you!