NLK9s Event & Speaker Form

NLK9s Event & Speaker Form
To be sure we have a representative available, please request at least four weeks prior to your event. We will respond to your request within 48 hours. Thank you!
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Requesting Organization
Organization Name*
Type of Organization*
Ex: Service Club, Business, Etc.
Organization Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Organization Website

Presentation Details
Our presentation format is as follows:
1. Introduction
2. Program video
3. Follow-up commentary
4. Q&A
We will be bringing our own audio system, computer, and projector. If you already have your own equipment, please check all that you have below:
A/V Equipment made available by Organization:*

AudioComputerProjectorScreenOther
For Dog Therapy sessions, we will talk about our program and have our dogs interact with event attendees. If you'd like more specific information, please let us know when we contact you!

Thank you.
Additional Comments
Should be Empty:

Requesting Organization