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Speaker Request Form

Thank you for your interest in having a Travel Oregon team member present to your organization. Due to the high volume of speaker requests, we are not able to accommodate every request. Requests must be received 30 days in advance of event. Thank you!

Speaker Request Form

"*" indicates required fields

Contact Information

Please keep in mind when completing this form that requests need to be submitted a minimum of 2 weeks prior to the event date.
Name*

Organization Information

Address

Event Information

MM slash DD slash YYYY
Time
:
Address

Other Relevant Information

Expected size of audience?
Please check items you need the speaker to provide:*
Presentation Format*

Would you like to request a specific member of the Travel Oregon staff?

If so, please include their name below. If requesting more than one person, please include the additonal name(s) in the details field below.

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