Request a Speaker

Book Dr. Stout to Speak

Contact Information
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Event Details
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Event End Date
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Your Program
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Requested Speaker*
Speaking Date*
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Speaking Start and End Time
Requested Topics*
Will the speaker's presentation need to be reviewed for CEUs?
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Will the event include other speakers?*
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More Information
Fees and Equipment
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Travel, food, and lodging included?*
Is there an attendee fee?*
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What equipment will be provided?
More Information
I agree to provide the attendee list with SPL to share the presentation and send a survey.*
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