Groups: Request a Speaker

Invite us to speak to your group or organization.

Our speakers can present a program on our services, on the social issues that necessitate the existence of a Children’s Home, or on ways one could help.

Name*
Prefix First Last Suffix
Group/Organization Name
Email*
Address*
Street Address Address Line 2 City State ZIP Code
Home/Work Phone
Mobile Phone
Preferred Contact Method
Preferred Time of Day to Contact
Speaker Information
Service Area
Topic
Date
MM slash DD slash YYYY
Start Time

: Hours

Minutes

AM/PM
Speaker Arrival Time

: Hours

Minutes

AM/PM
Presentation Length
Event Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
We can provide the equipment to show:
- DVD Video
- PowerPoint
Approximate number of people who will attend
Is the purpose of your speaking request to promote the Annual Mother's Day Offering?*
- Yes
- No
Comments
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Request a Speaker

Invite us to speak to your group or organization.

Speaker Information

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