HAVEN Training & Tabling Request Form

Thank your for your interest in booking a HAVEN speaker and/or table. This form is designed to gather essential information to help us better prepare and schedule training sessions, presentations and tabling events.

Our HAVEN Prevention Education team will promptly follow up on your request within 48 hours. For additional information or direct communication with our team, please reach out via email at prevention@haven-oakland.org or by phone at 248-334-1284.

We'd like to emphasize that our ability to provide educational resources to our community is made possible throught the generosity of donors. We kindly ask you to consider a financial contribution in partnership with HAVEN to support our mission. Thank you. We're eagerly looking forward to speaking with you soon.

Name

First NameLast Name

Company/Organization/School Name

Contact Person's Email

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Phone Type

What is the best way to follow up with you about your request?

What are you hoping to receive?

Other

If available, what is the date for the event? (Please note that our calendar does tend to fill up a month or two in advance. We will do what we can to accommodate your request but cannot guarantee speakers last minute.)

Date

What is the time and duration of the event or training?

Location/address of the event or presentation

Please provide a brief description of the event or training

If you are you requesting a specific HAVEN representative, please indicate

First NameLast Name

Will you need the HAVEN logo for any promotional or marketing materials associated with the training or event?

Is there any additional information you want to include with your request?