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Request A Speaker

Would you like us to come speak with your group? We are happy to work with you to connect you with the information you need.

Our staff and volunteers can speak on topics such as:

If possible, we request you provide an honorarium or travel reimbursement if your group is located more than 50 miles from Durham.

First Name*

Last Name*

Email Address*

Phone Number*

Organization*

Address of Speaking Engagement*

Address 2

City*

State*

Zip*

Requested Date and Time*

When would you like us to speak? Please let us know if there is a choice of dates.

Requested Topic*

Let us know what you would like us to speak about.

Please describe your group

Let us know a little about your group, including demographics, interest in teen pregnancy, etc.

Your contribution can help young people grow up healthy!

Any Amount Makes a Difference!

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