Community Champion Talk Booking Request

Community Talk booking sheet

Talk date (required)

(Please note that booking requests more than 6 months in advance are subject to availability)

Group name (required)

Address (required)

Contact name (required)

Contact daytime telephone number (required)

Contact email address (required)

Meeting place address (required)

Time (required)

Title of talk required (required)

Is a screen or wall available for projection? (required)

YesNo

Size of group? (required)

Do you have a pre-meeting before the talk? (required)

YesNo

Arrival time needed for speaker? (required)

Anything else we need to know?

Please note: The Name of Community Champion will be confirmed in the lead up to the talk