Event & Speaker Requests

Thank you for your interest in having LifeShare Carolinas join your event or speak to your group. Please fill out the form below and a member of our team will contact you.

Event Speaker Request

Fields marked with an * are required.

Name

Company or Event Name

Phone

SPEAKER REQUESTS

Use this section to request a LifeShare speaker. Please provide two possible dates and times. We will do our best to schedule one of your dates.

Preferred Date

Alternate Date

Length of Presentation

Start Time

Approximate Attendees

EVENT REQUESTS

Use this section to request LifeShare have an information table at your event or place of business. Please provide the date and time of your event.

Event Date

Event Start Time

Approximate Attendees

Event End Time

If your date is flexible, please provide an alternate date.

Onsite Contact Name (if different from above)

Onsite Contact Phone (if different from above)

For all requests, please provide our team with additional information.

What can you tell us about your audience?

Please provide any additional details or instructions that may help us on-site.