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Request A Speaker

Compassion & Choices is happy to help find just the right speaker to educate and engage your audience on a range end-of-life of topics. Please complete the form on this page, and we will be in touch to identify a speaker for your upcoming event.

Request A Speaker





If you would like, choose a speaker:
Event Date:
Event Venue:
Venue Location:
Please provide details about the event:
Expected Audience Size*:
Is the event a conference?*:
Event intended as fundraiser for C & C*:
What is the fundraising goal?*:
Is there an honorarium or fee available?:
If yes, what is the amount?:
Requested duration of remarks in minutes:
Plenary / Keynote:
Formal Presentation (with PowerPoint):
Panel Discussion with Other Guests:
Q&A:
Educational Workshop:
Other (Please Describe Below):
If you answered "other", please describe:
General Audience:
Medical Doctors:
Other Medical Professionals:
Faith-based:
Policymakers:
Other (please describe below):
If you chose "other", please describe: