Request an Educational Speaker

Does your CS department need a refresher on a specific topic? Or do you have an educational event or chapter meeting that you need a professional speaker for? We would like to partner with you. Simply fill out the form to submit your request.

All fields are required unless indicated optional
Requester's Email Address
I am looking for a speaker for:
Requester’s First Name
Requester’s Last Name
Requester’s Title
Requester’s Company or Facility
Requester’s 3M Account Manager
Date of Event
Name of the Event
Location of Event
Audience Profile (MD, RN, percent mix)
Estimated Audience Size
Description of Event (e.g., conference/congress, chapter meeting, 3M program)
Educational Objective
Have the topics been identified?
What are the topics?
Presentation Format (lecture, roundtable, discussion)
Presentation Duration
Is the event open to public or invite only?
Is there a ticket fee for the event?
Will 3M be able to showcase a booth table?
Other Important Notes:
Country/Region
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