Please submit requests two weeks prior to your event to ensure enough time for NTFB staff to review.
Event Information
Event/Group Name
*
Type of Event
*
In person
Virtual
Is this a Speaker or Tabling Event?
*
Speaking/Presentation
Table Hosting
Address of Event
If In Person
Event Date
*
-
Month
-
Day
Year
Date Picker Icon
Event Start Time
*
1
2
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10
11
12
:
Hour
00
10
20
30
40
50
Minutes
AM
PM
AM/PM Option
Event End Time
1
2
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9
10
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12
:
Hour
00
10
20
30
40
50
Minutes
AM
PM
AM/PM Option
Anticipated Audience Size
*
Audience Type
Adults
Children
Both
Brief Audience Description
*
Speaker Prep Information
Approximate NTFB Presentation Time
1
2
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10
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12
:
Hour
00
10
20
30
40
50
Minutes
AM
PM
AM/PM Option
Presentation Length
*
What would you like to accomplish or emphasize in this presentation?
*
Will there be other speakers at the event?
*
Yes
No
Please describe the other speakers.
In addition to a presentation, would you be interested in any of the following materials?
NTFB Video (4 minute video)
NTFB newsletter
Volunteer opportunities
Other
Will you have audio/visual equipment available for use at the event?
Yes, we will have audio/visual equipment available
No, we will not have audio/visual equipment available
Special instructions, requests or additional comments
Contact Person Information
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
*
-
Area Code
Phone Number
Additional Phone Number
-
Area Code
Phone Number
How are you familiar with NTFB?
*
* Required fields
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