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Speaker Request Form
Use this form to request a speaker for your zoo, school, civic organization or event.
Please keep in mind that some of CCF's speakers are located in Namibia and have limited availability in the US and abroad. Speaking appearances will most likely be limited to dates which individuals are already traveling. If staff speakers are not available CCF has many qualified volunteer speakers available and we would gladly check availability for a volunteer speaker to come to you. To see CCF's staff listing please click
here.
Requested Speakers
*
Staff members marked ** have regular availability in the U.S. for at least half the calendar year.
Dr. Laurie Marker - Minimum projected income - $10,000 plus expenses
**Dr. Anne Schmidt-Küntzel - Minimum projected income - $1,000 plus expenses
Dr. Bruce Brewer - Minimum projected income - $1,000 plus expenses
**Brian Badger - Minimum projected income - $500
Other Namibian Staff Member (based on availability) - Minimum projected income - Expenses
CCF Volunteer (based on availability) - Minimum projected income - Expenses
Describe your event
*
Preferred date
*
Please provide your second choice for a speaker request date.
MM slash DD slash YYYY
Alternate date
*
Please provide your second choice for a speaker request date (in case of limited availability)
MM slash DD slash YYYY
Proposed location of event
*
Please provide the city, state/province and country where you are planning your event.
City
State / Province / Region
Country
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Anticipated number of guests in attendance
*
Please enter a number from
10
to
1000
.
Projected income for CCF (US Dollars)
*
How will income be generated at the event? Ex: ticket sales, call-to-action, live/silent auctions, etc...
*
Will income be generated for any other organization?
*
Yes
No
Can CCF merchandise be sold at the event?
*
Yes
No
Is there anything else you would like us to know about your school, group, or event?
*
Primary Contact Name
*
First
Last
Email
Notice of Speaker Fees and Arrangements
Minimum income requirement can be met through donations, honorariums, sponsorship, ticket sales or merchandise sales.
Prior to the speaking engagement being confirmed, the following will be discussed and agreed upon:
Travel arrangements and accommodations
Audio Visual equipment needs and set up
Logistics of ticket sales and targeted guests
Volunteer and/or staff support needed during the event
Schedule of event
Marketing and Communications
CCF requires that name and contact information of attendees will be shared with CCF. Attendees will receive an initial communication from CCF giving them the opportunity to opt out of all future communications.
All attendees will receive a CCF brochure and/or remittance envelope with the invitation to make a donation to CCF's annual campaign.
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