International Life Services
HOME    ABOUT US    JOIN    TRAINING     CENTERS    SPEAKERS BUREAU    CATALOG    HOW TO HELP    CONTACT
 

Speaker Request Form

Thank you for requesting a pro-life. Please allow a minimum of eight weeks between submission of this form and your event so that suitable arrangements can be made. To be certain that we have sufficient information to make scheduling decisions, please fill out this form completely. When you have finished, Submit it to our office.

After your request has been received, our Speaker Coordinator, will contact you with speaker information and details such as honorariums and expense coverage.

If you have any questions please call 213-382-2156.

Please complete all sections before clicking the "send request" button. (NA if not applicable). Thank you. Tab to jump to next text box.

ORGANIZATIONAL INFORMATION
Organization Name
Primary Contact Name
Title
Street Address
City
State
Zip
Phone
Email
Fax
Website
 

EVENT INFORMATION

Date Requesting Speaker
Time of Presentation
Type of Event
Length of Talk
Audience Size
Audience Composition
Requested Topic
Location of Event
Street Address
City
State
Zip
 

ADDITIONAL INFORMATION


  
Requests for speakers are given prompt, courteous attention and filled in a timely manner. Once we secure a speaker for your event, we will contact you to discuss further details, such as honorarium and travel expense coverage. Thank you for your interest.

note: Address for your request by mail is:
International Life Services
2606 1/2 West 8th Street
Los Angeles, CA 90057
Send fax request to: 213-382-4203
For questions call: 213-382-2156

International Life Services
2606 1/2 W. 8th St.
Los Angeles, CA 90057
email: lifeservices@juno.com