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Speaker’s Bureau Request

Request a Speaker

BEST TIME(S) OF DAY TO REACH YOU BY PHONE:
REQUESTED PRESENTATION TOPIC:
DESIRED DATE(S) OF PRESENTATION:
ALTERNATE DESIRED DATE(S):
REQUESTED TIME OF PRESENTATION(S):
WHO IS THE AUDIENCE?
WHAT IS THE APPROXIMATE AUDIENCE SIZE? (PLEASE NOTE THERE IS A 15 PERSON MINIMUM.)
WILL THERE BE EQUIPMENT AVAILABLE FOR US TO RUN A POWERPOINT PRESENTATION (IF APPLICABLE TO THE TOPIC)? YesNo
EQUIPMENT AVAILABLE:


*Please note requests will be honored on a first come/first serve basis; therefore, requested dates may not be available. Presentations must be requested at least 60 days in advance of desired dates. The Association for Mental Health and Wellness (MHAW) does not have speakers available to present on all topics requested. If we cannot accommodate the requested topic the MHAW will provide you with referrals to outside sources of speakers who may be able to accommodate your request.

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