Download Form

If you would like to send us your request via fax or mail simply download the print version of the BDA Speaker Request Form.

BDA Speaker Request Form (.pdf / 24.5KB)

BDA Speaker Request

To Request a Speaker please complete the below form:
* = Required fields

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* Requesting Organization

* POC

* Phone

* Email

* Event Date, Timeframe, Title & Theme

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* Speaking Request
• Keynote Presentation
  (30–40 min prepared remarks followed by Q&A; with full A/V)
• Guest Lecture or Presentation to Students
  (30–40 min remarks w/ Q&A; with or without A/V)
• Informal Remarks
  (15–20 min presentation, no A/V)
• Panel Participation
  (10–15 prepared remarks followed by panel discussion & Q&A)
• Other:

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Honorarium¹ Provided to BDA

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Additional Questions Is the event open to the media?
• Yes
• No

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Audience

What is your planned attendance?

Who will attend the event? General information on the audience's background

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¹In addition to travel expenses