Speaker Request

Thank you for your interest in inviting Dr. Lisa L. Campbell to speak at your next event. Dr. Campbell loves to learn, inspire, and educate others.

All speaking requests must be submitted through the web form below.

Budget

Name of Organization Hosting Event:

Event Location

Event Date

Event Start Time

Event End Time

Travel Expenses Covered:

Yes No

Expected Media Coverage:

Yes No

What is the purpose of this event?

Contact Person

Contact Name

Contact Email

Contact Office Number

Contact Cell Number

Organization Name & Location

Presentation Details

Topic of Presentation

Type of Presentation

Length of Requested Presentation:

Audience Size

Audio

Audiovisual Capabilities

Yes No

Please provide special notes/instructions (if applicable)