HRHT Task Force Speaker Request Form Thank you for your interest in having a HRHTTF speaker at your event. In order to help us facilitate your request, please complete and submit the following form 4 weeks prior to the event.Type of Event Panel Discussion Conference Presenter Vender/Community Event Radio/Television Type of Request Law Enforcement Speaker Victim Services Speaker HTTF Speaker Prosecutor Speaker Survivor Speaker Your OrganizationName of OrganizationType of OrganizationName(Required) First Last Phone(Required)Email(Required) Event DetailsEvent NameEvent LocationEvent Date/TimeEvent Purpose/GoalEvent WebsiteLength of Speaker’s PresentationAudience DetailsAudience ( Approximate size of audience)Media ( Will media be invited? If so, will the event be open or closed press?)Additional InformationAudio Visual Capabilities (Please explain what audio visual equipment will be available.)Deadline for AcceptanceCost of Attendance ( Please include member and non-member price, if applicable)Offer of Payment/Reimbursement ( none, dining, lodging, travel, etc.)