Speaking Engagement Request

Please fill out information below so that the Public Affairs Office can find the best speaker for you engagement. Omission of any information will delay your request. Please provide your requests as much in advance as possible. In general, requests made less than one week prior to the event will not be accommodated.

Not all requests, regardless of time, can be accommodated.

Should an appropriate speaker be available for your request, or should any questions regarding your request arise, a member of the Public Affairs Office will contact you.

If you are looking for a Coast Guard speaker, and are outside of the San Francisco Bay, Sacramento, Monterrey Bay, or Humboldt Bay areas, please contact your local Coast Guard Public Affairs Office or unit to accommodate your request. Links to the Los Angeles and San Diego Public Affairs Offices are available in the menu bar at the top of the page, under Coast Guard Links.

Requesting Organization
Point of Contact
Phone
Date of Request
Primary Date and Time for Presentation:
Alternate Date and Time for Presentation:
Location:
City (Northern California only):
Is the event a
Breakfast
Luncheon
Dinner
Will food be provided for the speaker?
Yes
No
Subject Desired:
Desired Length of Presentation:
Type of Audience:
Estimated Size of Audience:
Will the following be available to the speaker?
VHS/DVD Player and TV
Computer/Projector
If there is a computer available, is it a
Macintosh/Apple
PC/Windows
Additional Notes (Please include any pertinent information not included above):

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