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: