Speaker Request Form: Sindy Benavides

Thank you for reaching out to have LULAC represented at your event. In order to help us facilitate your request, please complete and submit the following form (and any corresponding attachments) to KGreen@LULAC.org at least 3 weeks prior to the event, and allow 3-5 business days for decisions to be made.

Event Organizer

Email*

First Name*

Last Name*

Phone*

Organization Requesting

Organization Type

Event Name/Title

Event Location

Event date and Time

Event Type

Purpose/Goal

Event Website

Topic

Format

Event Duration (hrs, min)

Questions & Answers

Size of Audience

Media Invited

Deadline for Aceptance

Cost of Attendance

Offer of Payment/Reimbursement

Disclaimer/Release Form

Request Information

Honorable Guests: (List names and titles of members of Congress, CEOs, or other VIPs participating in, or attending the event.) *

* Required information