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Speaker's Bureau Request Form

Cover photo for the document: Speaker's Bureau Request Form

This is the Speaker's Bureau Request Form used by FEMA Region III for all speaking requests at events or engagements. Please complete Section 1 Event Info, questions 1-6, and Section 2 Sponsoring Organization Info, questions 7-12, prior to sending to FEMA. The PDF is form fillable.

FEMA will complete the bottom portion internally as we work to staff the request. Please direct any questions or requests for a speaker to the FEMA Region III News Desk at (215) 931-5597 or by email at femar3newsdesk@fema.dhs.gov, subject line 'Speaker's Bureau Request.'

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Icon for file of type application/pdfSpeaker's Bureau Request Form

This is the Speaker's Bureau Request Form used by FEMA Region III for all speaking requests at events or engagements. Please complete Section 1 Event Info, questions 1-6, and Section 2 Sponsoring Organization Info, questions 7-12, prior to sending to FEMA. The PDF is form fillable.

FEMA will complete the bottom portion internally as we work to staff the request. Please direct any questions or requests for a speaker to the FEMA Region III News Desk at (215) 931-5597 or by email at femar3newsdesk@fema.dhs.gov, subject line 'Speaker's Bureau Request.'

0.09MFebruary 27, 2017