Please complete each item below and then click to submit your request for a speaker at your large-group event (60-person audience minimum). Speakers' schedules are generally determined 6 months in advance. Availability is limited, so put your request in early for consideration.
1.	Name of event:
2.	Sponsoring group:
3.	Contact person's...   Name:      Daytime telephone:      E-mail address:
4.	Event date(s):
5.	Event times(s):
6.	Event location...   City:      State:      Venue:
7.	Requested topic (choose from drop-down-list): Basic Water Chemistry and Testing Intermediate Water Chemistry and Testing Advanced Water Chemistry and Testing Recreational Water Testing Issues Testing Interferences Water Quality Field Testing The Industry Response to E.coli (H157:O7) Pool/Spa Water Chemistry Sanitation Issues Recreational Water Quality Seminar (6 hours - fee based)
8.	Audience details...   Estimated attendance at seminar:      General background in water testing: