ATL Speakers Bureau Request Form – ATL Employees

EMPLOYEE CONTACT INFORMATION

Employee name:

Email address:

Phone number:

EVENT INFORMATION

Group/sponsor:

Event name:

Event location (if virtual, specify; if off-Airport, include address):

Date and time of event:

Time of presentation:

Purpose of event:

Topics to be discussed (please give examples of key points to be made):

Length (time) of remarks
3-5 Mins.10-15 Mins.30 Mins.45 Mins.60 Mins.90 Mins.

Presentation method requested (remarks, panel discussion or PowerPoint):

Other speakers on the program:

Draft run of show (Note – you must provide confirmed run of show prior to event start date.):

Audience demography (who is speaker addressing?):

Estimated number of participants

Upload Authorization Form:

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