Speaking Engagement Request Form

Red button to PDF formPlease complete this form to request a speaker from the IPC for your event. We recommend that you submit your request at least two months prior to the event to allow enough time for our office to review and respond to your request. Provide the details of your event below.

If you are not able to use the form below, you may print and fill out a PDF version, and send it to [email protected].

Commissioner media kit



In personWebinarVideo (e.g. Skype)Other


Keynote/PlenaryConcurrent
Panel (please list other panelists)

Other (please specify)

Will accept another speaker if preferred speaker is unavailable



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