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Presentation and Event Request

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CONTACT INFORMATION
Contact Name:*
Name of Organization/School:
Address
City
States
Zip Code
Daytime Phone Number:
Secondary Phone Number:
Email Address:*
REQUEST DETAILS
Date and Time of Event:*
Date and Time of Event:
Date and Time of Event:
Desired Length of Presentation (Hours/minutes):
Number in Audience:
Age Range:
Grade Level (if applicable):
Brief description of event (e.g., festival, group presentation, school lesson, tabling event, etc.):
Presentation Format*
1. In person
2. Virtual
Presentation Tool:
1. Zoom
2. Microsoft Teams
3. Skype
4. Other
5. Unknown/Undecided
Requested Presentation Topics:
1. Anything
2. Water Conservation
3. Water Quality
4. Water Treatment
5. Wastewater Treatment
6. Careers in Water
7. Other
Please provide any necessary details regarding your request, including any equipment or materials that are available (e.g., laptop, projector, sinks, etc.).