Speaking Engagement Request Form
We're so glad you'd like the Lantern Team to speak at your upcoming event or meeting. Please fill out this form with as much detail as possible and we will be in touch with you shortly regarding scheduling confirmation.
Name
*
First Name
Last Name
Organization Name
Website (if you have one)
Potential Event Date
Time of Event
Preferred Length of Presentation?
We suggest a minimum of 45 for these events.
Expected Number In Attendance?
This ensures we bring enough materials with us..
Description of Event
*
Topics you Would like to cover at the event
Address of Event
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Point of Contact
*
First Name
Last Name
Email for Point of Contact
*
Please enter a valid phone number.
Phone Number for Point of Contact
*
Please enter a valid phone number.
Will there be AV hook ups available on site for a presentation?
Yes
No
Not Sure
Considerations
Although we do not charge for speaking engagements we do suggest an offering be taken up or donation made to offset the costs we incur and for the time commitment from the team. Travel and lodging fees may apply for out of state or engagements that require excessive travel time.
This form does not secure any dates but the Lantern Team will follow up with confirmation.
*
Yes, I understand!
Please verify that you are human
*
Submit
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