Presentation Request Form - FIGHTtheBITE.net

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Presentation Request Form


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The Sacramento-Yolo Mosquito and Vector Control District's Public Education department routinely provides presentations to the public. To request a presentation, please complete the form below and click submit.

Submission of this presentation request is NOT confirmation of our participation at the requested dates and times. You will receive an email confirming submission of this form and our Outreach Coordinator will then contact you to finalize the presentation details.

Your Name:

Email Address:

Requested Date:

Time:

Alternate Date:

Time:

Organization:

Address:

Phone number:

Alternate number:

Preferred Topic:

Number of attendees:

Age/Grade Level:

Do you have a laptop available?	Yes No
Do you have a projector?	Yes No
Do you have a projector screen?	Yes No
Is there a nearby electrical outlet?	Yes No

Specific details/requests:

How did you hear about this opportunity?

Submission of this presentation request is NOT confirmation of our participation at the requested dates and times. You will receive an email confirming submission of this form and our Outreach Coordinator will then contact you to finalize the presentation details.

Upon submitting this form you will be shown a confirmation detailing your request and will be sent a confirmation email. If you do not see this confirmation screen or experience other issues please contact us via e-mail or call 1-800-429-1022.

If you have questions or would like more information, please contact us at: 1.800.429.1022 or education@FIGHTtheBITE.net