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Organization Contact

About Your Organization

Please provide a brief background of the organization and its members

Speaking Engagement Details

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If you are seeking a panel discussion format, please list the other speakers and the moderator

Please provide examples of previous speakers/topics this group has utilized

When was the last time your organization received a presentation from anyone at the LVCVA? (if applicable)


Will media be in attendance covering the LVCVA Speaker?

If you answered "yes" to the above question, which news outlet(s)/reporter(s) will be in attendance?

* Indicates a required field.