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Community Presentations
Community Presentations
Please complete this form if you are interested in having our Community Outreach Coordinator present at your event or meeting. Contact Hannah Shipman if you have any questions:
[email protected]
Organization Information
Organization Name
Organization Name
Contact Person Name
Contact Person Name
First
Last
Phone
Phone
Email
Email
Mailing Address
Mailing Address
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Presentation Information
Confirmation Date
Confirmation Date (Date by which you need confirmation)
MM
DD
YYYY
Date of Presentation
Date of Presentation
MM
DD
YYYY
Time of Presentation
Time of Presentation
Location of Presentation
Location of Presentation (if different from Mailing Address):
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Parking Instructions if any
Parking Instructions if any
Topic (If not specified we will focus on Blue Planet Foundation's work, and offer actionable information on how to be more energy efficient, tailored to your organizational needs.)
Topic (If not specified we will focus on Blue Planet Foundation's work, and offer actionable information on how to be more energy efficient, tailored to your organizational needs.)
Approximate number of people expected to attend presentation
Approximate number of people expected to attend presentation
Allow PowerPoint slides?
Allow PowerPoint slides?
Yes
No
Please indicate which of the following you can provide:
Please indicate which of the following you can provide:
Slide projector and screen (for PowerPoint presentation)
Microphone (for larger groups)
Special Requirements
Special Requirements, if any
Will expenses be paid, if any?
Will expenses be paid, if any?
Yes
No
Will an honorarium be offered, if any?
Will an honorarium be offered, if any?
Yes
No
If you answered yes to the question above, please enter amount of honorarium offered in US$
If you answered yes to the question above, please enter amount of honorarium offered in US$
Comments or questions
Comments or questions
Mahalo Nui Loa! We will be in touch shortly.