Request a Speaker

Topic/Title*
Why did your group/organization choose this topic?
Presentation Date*

MonthDayYear
Start Time*
End Time*
Group Age*
Audience Size*
Equipment Available

TableChairsTentProjector/ScreenComputerAudioPower OutletsInternet ConnectionHDMI Cables
Room Setup
Organization Name*
Event Type*
Contact Name*

First NameLast Name
Phone/Cell Number*
Please enter a valid phone number.
Fax Number
Please enter a valid fax number.
Email Address*
Event Address*

Street Address

Street Address Line 2

CityState

Zip Code
How did you hear about Hernando County’s Speakers Bureau?

Social MediaHernando County’s WebsiteHernando Highlights (Monthly Newsletter)Networking EventGroup/OrganizationOnlineLocal PaperOther
Additional Comments
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