Presentation Request Form
Use this form to request that our Outreach Staff give a presentation at your school, building, or organization. This form is only for organizations, not individuals. Please fill out the form using the contact information for the main point of contact at your organization and the address where you would like us to present.
Full Name
First Name
Last Name
Contact Number
Please enter a valid phone number.
Email Address
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Appointment
Any other specific date and time, if the above selection is not suitable.
-
Month
-
Day
Year
Date
Hour Minutes
AM
PM
AM/PM Option
What would you like us to present on--Weatherization, Bill Payment, or both? Please also include any other information you might consider relevant to your request, including what materials and equipment we may need to bring.
Would you like it to be an in-person or a virtual presentation?
In-Person
Virtual
Submit
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