LVCVA Speakers Bureau Request

Name of Organization Requesting Speaker*:

First and Last Name*:

Title*:

Email Address*:

Phone Number*:

Background on Organization/Members*:

Please provide a brief background of the organization and its members

Date of Speaking Engagement*:

Location of Speaking Engagement*:

Desired Presentation Topic(s)*:

Marketing Las Vegas
Sports and Events
Tourism Economy
Transportation Initiatives
New in the Destination
The Las Vegas Visitor

Who is the Audience?*:

Anticipated Number of Attendees*:

Requested Format*:

Panel Discussion Details:

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

Previous Speakers and Topics*:

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

Last LVCVA Presentation:

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

Yes No

Will media be in attendance covering the LVCVA Speaker?

Media Outlets/Reporters:

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

* Indicates a required field.