Speaking Engagement Request

Sponsoring Organization:

Thank you for contacting Commissioner Deidre Gifford to speak at your event. Please allow two weeks to process your request. To better understand the type of request being made, we ask that you provide the following information:

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Event Information:

Event Name:*

Event Date:*

MonthDayYear

Start Time:*

End Time:*

Commissioner' s Participation Time:

Event Location:*

Type of Event:*

Description of Event:

Type of Audience:

Number in Audience:

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Contact Information

Contact Name:*

First NameLast Name

Contact's Title:

Phone Number:*

Area CodePhone Number

E-mail:*

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