Chapter Speaker Request Form for IAEE Leadership/Staff

When requesting an IAEE staff or board member for speaking engagements, the following information will be sent to Lisa Buchanan.

Chapter Name

Contact person:

Contact email:

Contact phone:

On-site contact person:

On-site contact's mobile phone:

Date of Event:

Time of Event:

Choose from the following speakers:

If you chose "Other IAEE Board Member" or Other IAEE Staff Member", please include their name below:

Desired Topic:

Type of event (breakfast, luncheon or networking event)

Location of program (include address or virtual):

Expected attendance:

Will chapter make hotel and ground transportation arrangements?

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