Please fill out this form if you are interested in inviting Dr. Margaret to speak for your organization or event. Organization Name * Website * http:// Event Title, Dates, Times, & Location * Expected Number of Attendees * Presentation Topic & Duration * Is there a specific topic you would like Dr. Margaret to speak on? What is the number and length of sessions you would like Dr.Margaret to speak? What types of sessions are these: keynote speaker, breakout session, etc? Organizer Name * First Name Last Name Organizer Email * Budget for Honorarium, Travel, Accommodations * Please include amount for honorarium, as well as travel and hotel accommodations. Anything else that would be helpful for us to know about your speaking request: * Event Website * http:// Thank you!