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* Required Field

Request Type * Speaker Request HOA Information Update

Presentation Type* Energy & Water Saving Workshop H20 To Go Live Line Demonstration Utility Truck Demonstration Other

Contact Information

First Name *

Last Name *

Association/Organization Name *

Street Number *

Street Name *

Apartment Number

City *

Zip Code *

Phone Number *

E-mail Address *

Event Information

Event Name *

Date of Event *

Start Time of Event *

End Time of Event *

Location Name and Address *

Projected Attendance *

Comments

Please include specific information (type of event, audio-visual equipment availability, preferred presentation start and end time, indoors or outdoors, table availability, etc.)