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
*
Date of Event
-
Month
-
Day
Year
Date
Time of Event
Description of Event
*
Address of Event
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Point of Contact
*
First Name
Last Name
Phone Number for Point of Contact
*
Please enter a valid phone number.
Considerations
Although we do not charge for speaking engagements we do suggest an offering be taken up to offset the costs we incur and for the time commitment from the team. Travel and lodging fees may apply for out of state engagements.
I understand that this form does not secure any dates but the Lantern Team will follow up with confirmation.
*
Yes, I understand!
Submit
Should be Empty: