Request a Speaker Form

To request a speaker, please complete the form below. Because of the high number of invitations we receive to speak about non profit fundraising, we may not be able to fulfill your request for a speaker.

Please tell us about your organization and your event, and we will reply to you within one week.

Fields with an asterisk (*) must be completed.

Requester Information

First Name:*

Last Name:*
E-mail Address:*
Phone Number:*
Organization Information

Name of Organization:*

Zip/Postal Code:*
Event Information

Type of event for which you would like a speaker:*

If other, please explain:
Event Location City:*
Event Location State/Province:*

Has a date been set yet?* Yes No
If yes, what is the date?
If no, what is the general time frame?
Who will attend this event?*
Please check all that apply:
Executive Director(s)
Development Director(s)
Board Member(s)
If other, please explain:
How many people are you expecting to attend this session?*

Do you have any funds allocated for travel expenses?* Yes No
Is there any other information you would like us to know?
How did you hear about Benevon?*

(Note: Benevon does not sell, rent, exchange, or give away any contact information. This information is strictly confidential.)

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