Request A Speaker / Representative

Request A Speaker
Are you interested in requesting a speaker or representative of The Julian Center to come to your organization or participate in an event you are hosting?


If so, please complete and submit the following information at least 1 month in advance of your event and someone will contact you to discuss your request.
 

Thank you for your interest in The Julian Center! 


 
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CONTACT INFORMATION
 

 
 
 
 

 
 
 


EVENT INFORMATION
 

 
 
 
 
 
     
 
 




         
   
 
 
   
  Type of speaker / representative needed?: (Check all that apply) 
 



   
  Area of interest?: (Check all that apply)
 





 
 



MARKETING
 

 
Are you charging a fee to attend?:
 

 
Will the media be contacted regarding this event?:  
 

 
Will Facebook or other social media be used to advertise this event?:  
 

 
 



AUDIENCE
 

 
 
 
  
 
  
   
  Who is the audience?: (Check all that apply) 
 









   
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