Request a Speaker

We have speakers who are available to present at your events, schools and more. To give us enough time to arrange the best speaker for your event, please submit your request 30 days in advance. We don't always have a speaker available for every event and location, but we will do our best to accommodate your request.

Contact Information
Name*
First Last
Email*
Phone*
Event Information
Is this a Lions club event?*
- Yes
- No
Club affiliation*
District affiliation*
Event name
Event date*
Date Format: MM slash DD slash YYYY
Event time*

: HH

MM
Event location*
Street Address Address Line 2 City State / Province / Region
Expected attendance*
Additional information
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