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Speaker/Vendor Table Request
Today's Date:
Thursday November 21, 2024
*Date of Event:
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-Select-
2024
2025
Three-weeks advance notice required
*Requesting Organization:
*Contact Name:
*Contact Phone:
(ex: 555-555-5555)
Contact Fax:
(ex: 555-555-5555)
*Contact Email Address:
Name of Program/Event:
*Type of Event:
-Select-
Community Resource Expo
Health Fair
Community Meeting
Professional Meeting
Other
*Location Name of Event:
(ex: Church, business, library, etc.)
Location Type:
(ex: Auditorium, Board Room, Cafeteria, etc)
*Location Address:
*Location Zip Code:
*Event Start Time:
*Event End Time:
Allotted Time for Speaker:
Event Open to the Public?
Yes
No
Items Provided by Requester:
Table/Chairs
Canopy Tent
Projector/Screen
Other
*Available Topics: (Maximum of two topics)
Careers
Utility Safety
Credit Policy/Establishing Service
Outages/Reliability
My Account
Energy Conservation Principles
EcoBUILD
Senior Programs
Special Assistance Programs
Gas Purchasing
The Terminator*
Careers-on-Wheels*
Water Quality
Customer Service
Energy Smart Workshop**
Smart Meters
Gas Principles
Electricity Generation/Distribution
Energy Efficiency Ord.
Financial Literacy
Senior Bingo
Pumping Station Tour*
Conservation Girl*
Kids Energy Conservation Workshop**
*
Limited to school groups
**
Please allow one hour
Event Phone:
(ex: 555-555-5555)
Event Contact Person:
Est. Number of Attendees:
Total
Adults
Seniors
Children
Children's Ages/Grade Levels:
Other Details:
How did you find the Speaker's Bureau? (Check all that apply)
MLGW Website
Previous Speakers
MLGW Publication
Social Media
Other