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Request a NAMI Georgia Speaker for Your Event

Please request a speaker no later than 30 days prior to your event.
  • Use this form to report ONE event. You may specify multiple sessions of the same event here, but use a separate form for each separate event.
  • Please specify information for ALL sessions, if multiple. If a speaker is needed at several sessions, or several speakers are needed at the same event, click the + sign to the right of entry to create another entry.
    Date of PresentationPresentation Begin TimeLength of Presentation (in minutes)Topics to be Covered by Speaker/Special Expertise Needed 
  • Please enter contacts for your event. Click the + sign next to the entry to create an entry for another contact person if you wish.
    First NameLast NamePhoneEmail 
  • Please give any important details here we should consider in choosing speaker(s) for your event.

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