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CoVPN Speaker Request Form

CoVPN Speaker Request Form

Please answer the questions below so that we can identify a potential speaker for your event.

Please provide as much information as possible so we can identify the right speaker for you.

Please note: Speaker requests should be submitted at least 2 weeks before the projected event date. Requests submitted within 2 weeks of the event date may not be fulfilled. 

Speakers are to be utilized for the purpose of providing scientific education surrounding COVID-19 and related topics. Speakers are not to be requested for the purpose of personal consultation. Speakers are not representatives of the COVID-19 Prevention Network and may not speak on behalf of the Network.
 
Event Organizer Information
This question requires a valid email address.