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Speaker Request Form

Fill out this form to request a SWANA official to present at your event! Information will be sent to Meri Beth Wojtaszek, Deputy Executive Director (Programs & Membership) for direct follow up and scheduling of requested speakers.

For questions, please contact Meri Beth via email: mwojtaszek@swana.org or by phone: 240-494-2233.

example@example.com

Time is local to your timezone.

Time is local to your timezone.

Event Location

example@example.com

Speaker Requested (check all that apply)

Select a choiceIn what capacity do you need the SWANA-International representative to participate in your event? (Check all that apply)

Is chapter offering to pay for all/portion of expenses?

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