Request a Speaker

 

Thank you for your interest in having a representative from Guide Dogs speak at your location or event. Please note that we need two to six weeks of lead time to make arrangements.
  Primary contact information:

*

Name:

 

 
   

*

*

 

 

(Maximum response 255 chars, approx. 5 rows of text)
 

Event Information:
*  


   


   


*

(Maximum response 255 chars, approx. 5 rows of text)
*  


   


 
Question - Not Required - Event Duration:


  Purpose of event:
(Select one of the available choices or enter a different value.)
 
Question - Not Required - What kind of representative do you feel is most appropriate?

*  


   


   


   


 
Question - Not Required - Will your audience require materials in special formats (Braille/Large Print/Audio etc)?


 
Question - Not Required - Are any meals provided to the speaker? (check all that apply)

 
Question - Not Required - If necessary, is transportation available to the speaker to and from the event?


 
Question - Not Required - Is the event indoors, outdoors, or both?



 
Question - Not Required - If outdoors, is there a shade area for dogs?



 


Thank you. A member of the GDB community will follow up with you within one week.
   Please leave this field empty

     

Navigation

Utility Nav

Login | Register | Español | Contact | 1-800-295-4050