Public Safety Sales Tax Renewal: Request a Speaker

We would be happy to provide a speaker at your meeting or event to provide education about the Public Safety Sales Tax renewal. Please complete the following request form at least two weeks in advance of your meeting or event. We will follow up with you at our earliest convenience.
Name*

First NameLast Name
Group/Organization*
Email Address*
example@example.com
Phone Number*
Please enter a valid phone number.
Meeting or Event Name*
Meeting or Event Address*

Street Address

Street Address Line 2

CityState

Zip Code
Date*

MonthDayYear
Start Time*

Hour Minutes

AM/PM Option
End Time*

Hour Minutes

AM/PM Option
How long would you like someone to speak?*

5 minutes10 minutes15 minutes
In addition to the allotted speaking time, if you would like dedicated time for Q&A or discussion, please let us know how long.
Anticipated number of attendees*
Would you like a PowerPoint presentation?*

YesNo
Please check the boxes for equipment that YOU will provide.*

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Please add any notes or comments that you would like us to know about this opportunity.
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