Request a Speaker

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Speakers Bureau Speaker Request Form

Please fill out the form below to request a speaker for your event and an AFSA representative will get in touch! To learn more about AFSA's Speakers Bureau, please click here. To volunteer as a speaker yourself, please click here.

AFSA requires that all requests for speakers are submitted at least three weeks prior to an event. AFSA cannot guarantee placement of speakers requested after that deadline.

Please note that a red asterisk indicates a field that must be filled or a question that must be answered in order for the form to be submitted.

Your Name *

Phone Number *

Email Address *

Name of Organization *

Type of Organization *

Date of Event *

Month

Day

Year

Location of Event *

Type of Event *

Audience Size *

Audience Type *

Travel Expenses Covered *

Q&A *

Notes/Comments

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Request a Speaker

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Speakers Bureau Speaker Request Form

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