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The Partnership Speakers Bureau provides you with an opportunity to schedule experts for your speaking needs through our website.

Simply fill out a Speaker Request Form, letting us know about your event and your needs. You can request a speaker by area of expertise, or by name from our list of Speakers Bureau Members.

Partnership Guidelines

Please submit a Speaker Request Form below. If the request can be fulfilled, a contract will be mailed to you in five to ten business days. The contract provides for payment of $3300, $2500 of which is the honorarium for the speaker and $800 of which is a payment to the Partnership. One half of the entire amount is due with the signed, returned contract, and the balance due one week prior to the engagement. In addition to the honorarium, your organization agrees to be responsible for all travel, accommodations, incidental arrangements, and expenses for the speaker.

SPEAKER REQUEST FORM

PLEASE COMPLETE THE FOLLOWING INFORMATION

First Name
Last Name/Contact Person
Title
Organization
Address Line #1
Address Line #2
Address Line #3
City
State
Zip
Country
Phone
Fax
E-mail Address

Type of Event:

Date of Event:

URL for Event (if applicable):

Name of Speakers Bureau Member (or specialty area):


Details (please include a description of the event, including type and size of audience, whether the event is CME accredited and by whom, whether the event will be audio or videotaped, etc.):

Other Comments:

By submitting the Speaker Request Form, I indicate that I have read the guidelines for engaging a speaker from the Partnership for Women's Health at Columbia.