Hanford Speakers Bureau Request Form

To request a Hanford Speakers Bureau presentation for your meeting or event, simply complete and submit this form. The Hanford Speakers Bureau can also perform remote presentations by use of SKYPE. Skype allows users to communicate with peers via video conferencing over the Internet. Video conference calls to other users within the Skype service are free of charge. You will be contacted shortly after your application is received. For further information or assistance call the Hanford Speakers Bureau at 509.376.3419.
REQUESTER CONTACT INFORMATION
Contact Name *	Phone/Cell *
Address *
City *	Zip Code *
Email Address *
SPEAKER REQUEST INFORMATION
Organization Name *
Speaking Location Address *
City *	Zip Code *
Audience Size *
Presentation Date *	Start Time *	Length *
The presentation typically lasts 25 to 30 minutes but can be tailored to meet the needs of your organization or school. Where did you hear about this presentation?
Newspaper Radio TV Internet Group/Organization Other: