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FAX: 630-955-1180
sarahnav@illinois.edu

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DuPage County Master Gardener Speakers Bureau Program Request

University of Illinois Extension provides speakers on a wide range of gardening topics through our Master Gardener program. If you would like to request a program for your DuPage County organization, please complete this form indicating your program preferences. All groups requesting talks should have a minimum audience of 15 people. Requests need to be made at least 4 weeks in advance in order to coordinate our volunteer' schedules. We charge a $125.00 fee for our Speaker’s Bureau programs.

* Name of Organization:
* Name of Contact Person:

*Mailing address:
* Contact Phone Number
* Email

*Program Requested: 1st Choice?






















*Program Request: 2nd choice?





















* Program Date Requested?

*Is this date flexible?
    

*Will the presentation follow a business meeting?
    
* What time will the presentation begin?
* How long would you like the program to last?

*Location for Presentation? (including address)
* Estimated Attendance?

*I am aware of the $125 fee.
    

*Please let us know if any of the following equipment is available through your organization. A screen is required since the programs are Power Point slideshow presentations.




*Has this group used Master Gardener speakers in the past?
    

Comments:

*Indicates questions that require an answer.