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Speaker Requests

To request a speaker at your event or to speak at our general body meetings, please email speaker_request@moundcitybar.com and include the following:

• the nature and purpose of the presentation;

• the duration of the presentation;

• a copy of any material(s) (handouts, power-point, etc.) which will be utilized during the presentation;

• a copy of any material(s) describing the presenter or the organization; and

• an indication regarding whether the presenter will be available for a question & answer session following the presentation.

• Members of Mound City Bar Association, if any, affiliated with this request.

Co-Sponsorship of an Event with Other Organizations
If another organization/individual would like MCBA to co-sponsor an event with it, the organization/individual shall submit a written request at least 60 days in advance of the event to speaker_request@moundcitybar.com. The request shall include the following information:
• the nature and purpose of the event;
• the proposed date(s) of the event;
• the desired level of MCBA involvement and any monetary requirements;
• any literature describing the event and organizer; and
• Members of Mound City Bar Association, if any, affiliated with this request.

• Name of Event: *
• Date of Event *
• Time of Event *
• Location of Event *
  Be specific.
• Type of Request: *
  KeynotePanelPlenaryWelcome/Closing RemarksTalking PointsTestimony/Hearing
• Who will be in the audience? For example, business leaders, higher education leaders, policymakers, faculty members, community leaders, etc. *
• Potential Audience Size *
  25 or less26-5051-75100+
  
• Subject or focus of talk *
• What do you want the audience to do with the information Mound City Bar Association shares?
  
• 
  
• How long do you expect the Mound City Bar Association representative to speak?
  
  Ideal length is usually 20 minutes, plus Q-and-A.
• Why is Mound City Bar Association a good fit?
  
• Do you expect journalists to report on the event? *
  YesNo
• Do you plan social media outreach? *
  YesNo

• Your information

• Contact Name *
• Contact Title *
• E-mail *
• Phone Number *
    -Area Code Phone Number
• Any additional details we should know?

• Event to be Broadcast?			Yes   No			If yes, please provide details:
  	Speech to be Taped?			Yes   No
  	Speaker bio needed?			Yes   No
  	Speaker photo needed?			Yes   No

  Indicate Equipment Available
  	Lavaliere or Lapel Microphone	LCD Projector	DVD Player	Room can be darkened
  	Public Address System	Computer with Presentation Software

  You may attach 2 documents to this request (event agenda, event description, etc.). Only PDF file Format accepted:
  First Document Name:
  First Document location:
  Second Document Name:
  Second Document location:

  	I agree that no person for reason of race, color, sex, religion or national origin, will be excluded from or segregated within membership in sponsoring organization, attendance at event or any of the facilities housing this event.

  	Is this event or any part of the event a fundraiser? (YES/NO)           Yes   No
  	If 'YES', is attendance at the event tax-deductible? (YES/NO)         Yes   No