Speaker Request Form

WCADP will work to find you an appropriate speaker for your event. Please fill out the form below or or call us at 414-755-2411 .

Name:
   
Title:
   
Organization
   
Mailing Address:
   
Email:
   
Workphone:
   
Homephone:
   
Cellphone:
   
Date of event:
   
Time of event:
   
Location/Address of event:
   
On-Site Contact (Name and Cellphone):

   
Audience Size:
   
Audience Description (briefly describe who you generally expect to attend):
   
Perspective (briefly describe what issues you think the audience is especially interested in):
   

Form of Event (Debate, public speech, house party, etc):

   
Note/Comments:
   
 

 

 

 
TAKE ACTION NOW

Donate
Tell a Friend
Write a Letter to the Editor
Register to Vote
Volunteer

SIGN OUR PETITION

Download our petition. [PDF].
Click here
to join our coalition.

Why the Death Penalty is Wrong for Wisconsin

Click here.

SPEAKER REQUESTS

Request a speaker from our organization. Click here to fill out our Speaker Request Form.

 

 

NODeathPenaltyWI | www.nodeathpenaltywi.org Resources