Request a Speaker — Illinois Single Payer Coalition

ISPC Speaker Request Form

Interested in having a representative from Illinois Single Payer Coalition speak at an event? Please fill out this form to make your request.

Please allow three-five business days for a response to your request.

Name

First Name

Last Name

Best phone number to reach you at?

(###)

###

####

Are you looking for a speaker to come to an event in-person or virtually?

In-person

Virtual

Flexible/either

If in-person, where would the event be located?

Date of event (approximate or exact)

YYYY

Time of event (approximate or exact)

Hour

Minute

Second

How many people do you expect to be in attendance?

Do you have a topic or presentation in mind for your event?

A list of our prepared presentations can be viewed in the Publications section of our webpage. We are also happy to work with your organization to create or personalize a presentation.

Do you have a preferred speaker?

A list of our speakers can be in the Speakers section of our website under the Resource heading. Please note that we may not always be able to honor requests.