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*:

Deadline for Speaker Confirmation*:

Location of Speaking Engagement*:

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Desired Presentation Topic(s)

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

Materials Needed (i.e., Bio, Headshot, Logo)*:

Who is the Audience?*:

Anticipated Number of Attendees*:

Requested Format*:

Previous Speakers and Topics*:

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

Panel Discussion Details:

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

Last LVCVA Presentation:

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?*:

Yes No

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.

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