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NTIA Speaker Request

NTIA receives a number of speaking invitations. The information you provide below can enable us to identify a fitting speaker, prepare the speaker for the event, and help us meet the expectations of you and your organization. Once we have determined if a speaker can be arranged for the event, we will notify you accordingly. Please note that the information you provide will only be used to determine if a speaker can be scheduled for the requested event.

*All fields are required except the Invitation Attachment*
Organization Name:
Type of Organization:
Event Name:
Location of Event:
Date(s) of Event:
Summary of Request (Describe desired topic for speech/presentation and format (e.g., speech, panel, etc.)):
Is the Event Open to Public?
Is There an Admission Fee?
Is the Event Open to the Press?
Expected Attendance (Estimated):
Contact Name:
Email Address:
Phone Number:
Upload an Invitation (Optional)


If you need help with this form, please send an email to NTIAHelpDesk@ntia.doc.gov.
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