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

Prefix
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
Home/Work Phone Preferred Contact Method
Preferred Contact Method
Preferred Time of Day to Contact
Speaker Information
Service Area
Choose One Service Area
Service Area
Topic
Date
MM slash DD slash YYYY
Start Time
: Hours

Minutes
AM AM/PM

AM/PM

AM/PM
Speaker Arrival Time
: Hours

Minutes
AM AM/PM

AM/PM

AM/PM
Presentation Length
Event Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Country

Country
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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