ACLU-IN Speaker Request Form

To request a speaking engagement from ACLU of Indiana staff, please fill out the form below and a member of our team will get back to you as soon as possible. Thank you for thinking of the ACLU of Indiana in planning your event.

For any additional questions, please email info@aclu-in.org.

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Point of Contact Information

First Name: *

Last Name: *

Pronouns:

E-mail: *

Organization: *

Phone Number *

Additional Comments:

Event Information

Title of Event:

Date:

Time:

Location:

Event Co-Sponsors:

Other invited speakers:

Describe the intended audience:

Estimated audience size:

Requested issue areas/subject:

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