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Speaking Engagements

Option 1. You can download this PDF and mail, fax or email it back to us after you complete it.

Option 2. You can complete the online form below.

Event Date:

Type of Volunteer Needed: (Check all that Apply)

Speaker Debate Moderator Voter Registration

Organization making the request:

Site of the Event (Address): Street and Suite etc..

Zip:

Telephone#: Email:

Person/Contact Making this Request:

Topic to be Discussed:

Time the LMV Speaker is to Appear at the Event: On the Program:

Will There Be Other Speakers – please list?

Size of the expected audience:

Will there be a Donation made to the LWVNYC? Yes No

To Donate online through PayPal you will be prompted one of the following options after you submit below:

LWVNYC Education Fund (tax exempt) or LWVNYC Donations
Additional Information: