Request a Speaker

Are you interested in having an ABC11 reporter or anchor MC an event, participate on a panel or moderate an engagement? Then fill out the form below and submit your request. Note: for various reasons not all requests can be accommodated and are subject to final approval.

Fields with asterisks * are required.
Speaker requests must be submitted at least 4 weeks prior to speaking date.

*Speaker Request First Choice:

Speaker Request Second Choice:

Speaker Request Third Choice:

*First Name:

*Last Name:


*Contact Email Address:

*Phone (with area code):

*Date of event:

*Start Time of Event:

*End Time of Event:

*Address of event:

*Est. number of people attending event:

Event brochure/doc upload here:
Please select file(s) to upload(500k limit):

Please select file(s) to upload:

Please select file(s) to upload:

Send To:



Note: If you encounter problems with this online form, please submit your request by email at Please be sure to include the answers to all of the questions listed in the online form in your email. Thank You!