Your Speakers Bureau Request Form
  • Thank you for contacting our Speakers Bureau. In order to best facilitate your event, please fill the requested details in this form.
  • Day of Event:(*)
    Invalid Input
    Please choose the day of the week that the event will take place in.
  • Date of Event:(*)
    Invalid Input
    You can pick a date from the calendar or manually write your date in the format: mm/dd/yyyy
  • Event Sponsor:
    Invalid Input
    Please provide the name and general background of the event sponsor.
  • Contact Name:(*)
    Invalid Input
    Please supply the full name of the contact person in charge of the event.
  • Contact Email Address:
    Invalid Input
  • Contact Phone Number:
    Invalid Input
    Please use numbers only.
  • Contact Fax Number:
    Invalid Input
    Please use numbers only.
  • Event Location:
    Invalid Input
  • Purpose of Event:
    Invalid Input
  • Type of Location:
    Invalid Input
    This information is very important to us. Please describe the type of location as best you can. If you choose \"Other\", please explain in the \"Extra Information\" field at the end of the form.
  • Type of Event:
    Invalid Input
    If you chose \"Other\", please explain in the \"Extra Details\" field at the bottom of the form.
  • Expected Attendance:
    Invalid Input
    Numbers only. How many people do you expect to accommodate in the event?
  • Audience Description:
    Invalid Input
    What kind of audience is the event accommodating? Age, affiliation, etc.
  • Event Starting Time:(*)
    Invalid Input
  • Event Ending Time:(*)
    Invalid Input
  • Lecture Starting Time:(*)
    Invalid Input
  • Lecture Ending Time:(*)
    Invalid Input
  • Leave time for Q&A?
    Invalid Input
  • Other Speakers Invited:
    Invalid Input

  • Requested Speaker(s):

    • All speakers will be placed at the discretion of the Speakers Bureau. Careful consideration will go into each placement to ensure the correct speaker is chosen. If there is a particular speaker you wish to have, please indicate below and we will do our best to accommodate the request.
    • Speakers are provided free of charge, but you (the hosting organization) must provide transportation to and from the event.

  • Official Consulate Speakers

    • Speakers in this category are the only ones who can give "Israel Updates" and official positions from the Israeli government.









  • Invalid Input

  • Topics











  • Invalid Input
  • Other Topic (if chosen):
    Invalid Input
    Please be as specific as possible.

  • Recommended Outside Speakers







  • Invalid Input
  • Advertising Used:



    Invalid Input
  • Extra Notes:
    Invalid Input

Resources and Information

Departments

Our Newsletters

Join Our Email Lists!
Email:
For Email Marketing you can trust

Login Form