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Request a Purpose Built Speaker for Your Event

We encourage you to submit your request at least six weeks in advance to ensure availability. If your timeline is shorter, we’ll do our best to accommodate your request, though we cannot guarantee availability.

Organizer Contact Details

Organizer Name(Required)

First Last

Organization(Required)

Job Title

Email(Required)

Phone(Required)

Event Details

Event Name(Required)

Event Date(Required)

MM slash DD slash YYYY

Will this engagement be in person or virtual?(Required)

In Person

Virtual

Event location (City, State and Venue):

Virtual platform that will be used (e.g., Zoom, Microsoft Teams, Facebook Live, etc.):

Please provide an overview of the event (provide as much detail as possible):

Please list the person being requested to speak:

List the topic(s) you would like the speaker to cover:

Specify the speaker's role at the event(Required)

Keynote speaker/address

Panelist

Panel moderator

Remarks/greetings

General Session

Breakout Session

Other

Please indicate if you need any media assets (e.g., Purpose Built Communities logo, speaker headshot and bio, etc.):

List approximate time commitment for the speaker:(Required)

< 1 hour

1-3 hours

4+ hours

List anticipated number of event attendees:

Will there be any speaking or appearance fees or honorariums available?

Yes

No

Other

Will travel expenses be covered?

Yes

No

Other

Upload official letter of invitation, program/brochure samples or drafts, or any files in support of your request. (This is optional, but can provide valuable context and may help encourage participation.)

Drop files here or

Max. file size: 50 MB.

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Who We Are
- Overview
- Team
- Board
- Careers
- Contact
What We Do
Our Network
- Network Members
- Network Engagement
Donate

Who We Are
- Overview
- Team
- Board
- Careers
- Contact
What We Do
Our Network
- Network Members
- Network Engagement
Donate

Resources & Publications
News & Views
FAQs
Donate
Contact
PBCx Login