Speakers Bureau Engagement Form

Thank you for volunteering your time to share information about SJR8/Issue 1 with your community.

Please note this form has three options:

A. You are volunteering to be a speaker, but you do NOT have a speaking engagement scheduled.

B. You are volunteering to be a speaker, and you DO have a speaking engagement scheduled.

C. You do not wish to be a speaker, but you do have a speaking engagement opportunity to share with the speakers bureau.

First Name *

Last Name *

E-mail Address *

City *

County *

Phone Number *

Please Check The Box Below That Applies: *

A. I am volunteering to be a speaker, but I do NOT have a speaking engagement scheduled.

B. I am volunteering to be a speaker, and I DO have a speaking engagement scheduled.

C. I do not wish to be a speaker, but I do have a speaking engagement opportunity to share with the speakers bureau.