Speakers Bureau Request Form

2012 United Way Campaign Speaker Bureau Request Form - register below

Thank you for requesting a Campaign Speakers Bureau presentation. A Campaign Speakers Bureau presentation can be as short or as long as you need, and any time day or night!!

Please request a speaker at least 3 work days prior to your scheduled presentation using this on-line request form.

Complete a separate on-line Campaign Speaker Request Form for each date/time a speaker is needed. You will receive email confirmation of each speaker request. If you need a speaker twice in one day, please complete this form twice.

Campaign Speakers Bureau
United Way's Speakers Bureau is designed to provide campaigns access to Campaign Speaker Bureau members who will inform and motivate audiences to give, advocate, and volunteer. Through compelling stories and images, community members participating in the Campaign Speakers Bureau help audiences recognize how they help mobilize the community by investing in education for children and youth, income for families, health, and basic services.

Details of Campaign Speakers Bureau Presentation
Please include a presentation address and detailed description to your presentation location (include building and room number if applicable) to help speakers get there (most Speakers Bureau members are not Mayo employees). Also, if you'd like a specific focus to your presentation, please include this in the form below.

Questions
Kris Brewer
krisb@uwolmsted.org
507-287-2487

Organization Name

Organization Department (for presentation)

PRESENTATION STREET ADDRESS

PRESENTATION LOCATION (where in the building)

Presentation city

Presentation zip code

Organization contact name

Organization contact phone #

Organization contact email

Organization person meeting speaker

Appropriate dress for speaker Business Business Casual Casual/Uniform