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Speakers Bureau and Community Engagement Booking Form

* indicates minimum required information

Engagement Booking Form

Contact details

Date
*Group/Company
*Contact
*Email
BH
Mobile
Fax
Website

Are you a not-for-profit organisation seeking a voluntary speaking engagement?

Event

*Name/Objective of Event

Event Dates:
From
To

Hours Required:
From :
To :
Venue
Address
Audience Size
Audience Type
*Will there be media coverage?
If yes, please provide details

What is required of athletes?

*Presentation/Speech
Addressing
*Workshop Facilitation
Addressing
*Presenting Awards
For
*Participation in sport activities
For/ to promote
Other
Level Budget Required
Further details

Sport Preference

1.
2.
3.
4.
5.
Additonal/relevant details
Date athlete confirmation is required by

The AIS ACE Speakers Bureau & Community Engagement Program will do their best to secure an athlete for your event. However, please note; the program cannot guarantee that your preferred athlete will be available or that every engagement request will be met.

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