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Speaker/Display Booth Request Form

Is this a speaking engagement?
 Yes
 No

Is this an event/display booth?
 Yes
 No





If this is a speaking engagement, would the Volunteer Ottawa representative be the only speaker, or would this be part of a panel?
 Only Speaker
 Panel

If this is a panel, would to Volunteer Ottawa representative go first, last, or somewhere near the middle?
 First
 Last
 Somewhere in the middle
 Not applicable

If this is a speaking engagement, would the speaker be using a microphone/public address system?
 Yes
 No
 Not applicable

Language of the presentation
 English
 French



Would the Volunteer Ottawa representative have access to computer/projector/Internet/power source?
 Yes
 No




Is there free parking?
 Yes
 No

Is the location wheelchair accessible?
 Yes
 No

Office use only: