Request a Stonewall Speaker

Information on speaker fees can be found in our Speaker Fee Schedule.

If you would like someone from Stonewall to speak at your event, please complete our speaker request form and return it to info@stonewall.org.uk

Section 1: Your Event Information
Date of event
Starting time
Ending time
Title/Topic of the event	-- Enter Text --
Format of event
Expected audience size
History/Goal of event	-- Enter Text --
Previous speakers (if any)	-- Enter Text --
Venue Name and Address	-- Enter Text --*
Venue Telephone	*
Media coverage present on the day of the event	-- Enter Text --*
Contact name on the day of the event	*
Contact mobile telephone on the day of the event	*

Section 2: Your Organisation's Information
Organisation name	*
Website address	*
Background information	-- Enter Text --
Your name	*
Your email	*
Your phone number

Section 3: Stonewall Speaker Request Information
Stonewall department	*
Level of speaker	*
Name of requested speaker
Subject of talk and length of time to speak	-- Enter Text --*

Section 4: Payment details
Name of organisation to be invoiced	*
Invoice address	-- Enter Text --*
Name and job title of person authorising payment	*
Telephone number	*
Email address	*
I confirm I have read and accept the terms & conditions below.

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