River Heritage/Origin Park

River Heritage/Origin Park

Request for Speaker
Thank you for your interest in having a representative from River Heritage Conservancy and Origin Park speak at your event.

In order to help us facilitate your request, please complete and submit the following form (and any corresponding attachments) at least 4 weeks prior to the event, and allow 5-7 business days for decisions to be made.
NAME OF ORGANIZATION
Website of organization
Coordinator/Point of Contact

First NameLast Name
Email of Contact
example@example.com
Phone Number of Contact
Please enter a valid phone number.
Address of Organization

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Event Name
Location of Event
Type of Event

MorningLuncheonAfternoonDinner
Date and Time of Event
Requested Presentation Topic
Length of Presentation requested.
Question and Answer Session?

YesNo
Audience Size
What technology is available?
Should be Empty: