Speaker Request Form Speaker Request Form Name of Event * Subject/Theme of Event * Name of Organization Name of Person Making Request * Email * Phone * Catagory of Request * Conference - speaker or panel invitation Event - speaker or panel invitation Request for information Other inquiry If a conference is it regional, national or international? If other, please describe Event description * Website/URL Date Location * Who will make up your audience/target audience to attend? What is the size of the audience? Less than 50 50 - 100 100 - 300 300 - 500 500 - 1000 1000+ What perspective would St. Tammany Corporation add to your event? Are there topics or areas of particular subject matter you're interested in hearing in about from St. Tammany Corporation? * Will media be in attendance? * Yes No Are you able to cover expenses for a St. Tammany Corporation representative to participate? * Yes No Please list other confirmed participants in your event we might want to know about: Please add any additional information that might help us: Submit If you are human, leave this field blank.