Say Yes Guilford Speaker & Presentation Request

shift_ed Speaker/Presentation Request

To ensure our availability, please submit your request at least 5 to 7 business days in advance
Event Date*

MonthDayYear
Event Start Time*

:HourMinutesAM/PM Option
How long do you expect this event to last?*
Organization*
Event Title*
Point of Contact*

First NameLast Name
Phone Number*

Area CodePhone Number
E-mail*
Secondary Point of Contact

First NameLast Name
Phone Number

Area CodePhone Number
E-mail
If the event is virtual. Please provide the link to join here.
Event Location*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Please provide parking details/landmarks
Please provide specifics (virtual event, cafeteria, auditorium, room number, etc.)*
Expected Attendance*
Would you like a PowerPoint presentation?*

YesNo
If in person, is there a computer available with PowerPoint capabilities at the event location?

YesNo
Will there be other presentations taking place at this event?*

YesNo
Please include details or any other information regarding your event (target audience, event agenda, etc.)
Should be Empty:

shift_ed Speaker/Presentation Request