Speakers Bureau

Public Health can provide speakers for many health related topics. If your organization would like a speaker for an event or meeting, please take a few moments to complete the form below. You may also call us at 1-800-4PD-HELP, or email us at speakers@publichealthathens.com.
 


Your Name:

Organization:

Your Email:       Phone:

Date(s) requested:

Time:     Location of program: (please list the city at minimum)

Topic(s) that you are interested in and any additional comments:

Which age group(s) BEST describe the audience (check all that apply):
Children under 8     Children 8-13     Teens (13-18)     Parents
Young Adults (18-26)    Adults (26+)

If ADULTS (18++) Would you say this group is:
 

     

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07.02.2008