Speaker - Donation Request Form

Thanks for considering me to be a part of your special event/day/project. I will do everything I can to try and make myself available for requests that come in and if I am unable to offer them pro bono, am happy to talk about any possible discounts I may be able to make available.

Please complete the form below

Name *
Name
Phone
Phone
Preference is given to non-profits and community-based organizations (ex. library systems, school groups, etc)
Preference is given to new organizations or organizations who have not received donated goods/services in the past 2 years.
Date of Requested Service *
Date of Requested Service