Speakers

Republican Party of Arizona

3501 North 24th Street
Phoenix, AZ 85016

(602) 957-7770
info@azgop.org

Speaking Request

Fill out this form to make a request to have a staff member of the Republican Party of Arizona speak or attend your event. We will respond to all requests as quickly as possible.

* Required

Your name *

Your email address? *

Your phone number? *

Your group/organization name *

Event Date and Time? *

Address of event location? (please provide special instructions if necessary)*

What is the purpose of this event?*

What is the name of the event?*

Expected Attendance? Also describe what you are doing to advertise for your event. *

Pick your first, second, and third choice of who you want to attend. *

What time will our speaker begin speaking?*

How long will the speaker have? (Including Q&A)*

Topic of speech?*

If speaker has time constraints, are you willing to adjust your program accordingly?*

Will audio/visual equipment by available? (Projector, laptop for PowerPoint, microphone, speaker system, etc)*

If food is served, will the speaker receive their meal complimentary? If not, what is the cost for refreshments?*

If speaker brings literature, will table space be provided?*

Any other information we should know?

Speakers

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Republican Party of Arizona

Speaking Request

Pick your first, second, and third choice of who you want to attend. *