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Speaker Request Form
Thank you for your interest in having someone from MASS speak at your event. Please fill out this form to provide us with additional information.
All items marked with * are required!
About the Event
Name of event
Event description
Organization
Location
City, State, Country
Date of event
Event website (if applicable)
Audience
Who will be in the audience?
i.e. Architects/Designers, Policy Makers, Students, Non-Profit Representatives, General Public, etc.
Anticipated audience size
Under 50
50-100
100-300
300-500
500-1000
1000+
Request
Type of request
Conference
Keynote
Lecture
Panel
Workshop
Other…
Enter other…
Enter other…
Expected time commitment
i.e. dinner the night before, multi-day conference, etc.
Speaker
Requested speaker
Would you be open to someone else?
Yes
No
Why MASS? What perspective would we add to the event?
Compensation
Amount?
Expenses covered? (check all that apply)
Travel
Lodging
Food
Contact
Your name
Your title
Your e-mail address
Your phone number
Anything else we should know?
Leave this field blank