Douglas-Sarpy Extension Speaker Request Form

All requests are subject to availability. A 45 day notice is required for all speaker visits. There may be a fee involved for supplies. Staff will contact you with a confirmation call or e-mail.

Please note, due to the volume of requests, staff are limited to one horticulture program request per group, per year.

**Please note, the horticulture program is not accepting new speaker requests at this time.**

FIRST DATE CHOICE: Required
SECOND DATE CHOICE:
START TIME: Required
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END TIME: Required
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WHAT IS THE BEST WAY TO CONTACT YOU? Required
SCREEN AVAILABILITY (FOR POWERPOINT): Required