Name *

First Name

Last Name

Cell Phone *

(###)

###

####

How would you like this presentation to be delivered? *

We host a Zoom webinar (up to 500 attendees) OR meeting (up to 100 attendees) and send you the link to register (our preferred method).

You host a Zoom meeting and send us a link to join (NOT preferred method, but we would still consider upon request).

In-person event.

Other (please explain in "Additional Information" section).

Date of Event *

MM

DD

YYYY

Start Time *

Hour

Minute

Second

AM PM

End Time *

Hour

Minute

Second

AM PM

I have read and understand the time requirements. *

*found at top of form*

Yes

We require both audio and visual capabilities for our presentations with an HDMI hookup. Are you able to provide that? *

*found at top of form*

Yes, we can provide that

Unsure, need more clarity

I have read and understand the safety measures for in-person events. *

*found at top of form*

Yes

This request is for an online event