Speakers

Name of Organization:*
Name of Event:*
Date & Time of Event:*
Location of Event With Address:*
Name of Contact Person:*
Contact Person Email:*
Contact Person Phone:
Mission of Organization:*
Topic(s) to be addressed by guest speaker:*
Are you requesting more than one speaker? If so, please explain:*
Desired length of guest’s speech:*
# of Attendees Expected:*
Describe the format and schedule of the event:*
(e.g., panel, lecture, workshop, interview, keynote, etc.)
Who is the target audience?*
Is the event free to attend?*
- Yes
- No
Do you have a computer or projector available for DVD or PowerPoint presentation?*
- Yes
- No
List any event sponsors or partners:*
List any other invited speakers:*
Will travel expenses be reimbursed?*
- Yes
- No
Will media be invited to this event?*
- Yes
- No
Will this event be recorded or broadcast?*
- Yes
- No
Specify event attire/dress:*
- Casual
- Business
- Black Tie
Would you like a photo and/or bio of the speaker(s) for promotional purposes?
- Photo
- Bio
- Both
If so, please select your preferred format:
- JPG
- PDF
- DOC
- Other
Please provide additional pertinent information about your event:*
(i.e., website URL, event program, promotional materials, etc.)

To request a tour of the Tri-Faith Commons or any of the faith partner congregations, please contact Program Director, Amanda Ryan by emailing alryan@trifaith.org.

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Speakers

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