Presenter's Form

LVAPA Presenters Form

Request for Presentations. If you have any questions, please contact lvapa@live.com
Today's Date*

MonthDayYear
Date
Presenter's Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
E-mail*
example@example.com
Phone Number*

Area CodePhone Number
Presenter's credentials*
Are you local to Lehigh Valley, PA or surrounding area?*

YesNO
What is your fee?*
Is there room for a fee negotiaton?*

YesNo
Title of Presentation*
Description of Presentation*
Time requirement*
Equipment requirement (only if your presentation is in person)*
Please select the date(s) you would be available (all presentations begin at 9:15 am EST.*

October 21, 2025November 18, 2025March 18, 2026April 15, 2026May 20, 2026July 15, 2026September 16, 2026October 21, 2026
Any other information that you would like for us to know:
File upload

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LVAPA Presenters Form