Speaker Request Host Organization(Required) Contact Name(Required) Contact Position Email(Required) Phone(Required)When is your program(Required) MM slash DD slash YYYY What time does your program begin?(Required) Hours : Minutes AM PM AM/PM Specify AM or PMWhat is the location of your program?(Required) What is the name of your program?(Required) Who is your requested speaker from The James Madison Institute? This is optional. We would also be happy to recommend a staff member who would best fit your program goals. Propose the topic(s) you would like this individual to speak about.Recommended Length of JMI Speaker's Presentation Presentation Format(Required) Speach Panel Roundtable Other Is A/V equipment available?(Required) Yes No Are you able to provide financial support for JMI speaker's travel expenses?(Required) Yes No Approximate Size of Expected Audience?(Required)Please enter a number from 1 to 1000000.Has the James Madison Institute presented to your group before?(Required) Yes No How did you hear about James Madison Institute?(Required)
