Request a Speaker

Are you holding a community meeting and would like a County Representative to attend and make a presentation or answer questions? Please complete the following information. All requests must be submitted at least 10 business days before the date of the requested presentation.

All fields marked with an * are required.

Event Details

Type of Event

Sponsoring Group or Organization
Date of Event (mm/dd/yyyy)
Time of the Event
Location of the Event
Deadline for Notification (mm/dd/yyyy)
Directions to Event
Contact Information

Contact Person: *
E-mail:*
Confirm E-mail: *
Contact Phone Number *
( )     -  
Contact Fax Number *
( )     -