Requesting a Speaker from the Court

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Form

Information

To request a speaker from the Court for an event, please complete the form below. All requested information is mandatory.

You will receive confirmation by e-mail.

It will be easier for us to accommodate your request if we receive it far in advance. Although we may not have sufficient resources to accept all requests for speakers, we will do our best. Whatever our response may be, we will send it to you by e-mail as quickly as possible.

For further information, please contact us either by e-mail at reception@scc-csc.gc.ca or by telephone at 613-996-7642.

Form

A. Requester Information

Surname: (required)

Given name: (required)

Title: (required)

Organization: (required)

Address: (required)

Municipality: (required)

Province: (required)

Postal Code: (required)

Telephone number: (999-999-9999) (required)

E-mail Address: (required)

Description of organization: (required)

B- Event Information

Date requested: (yyyy-mm-dd) (required)

Time requested: (hh:mm) (required)

Desired length of participation: (required)

Language of tour: (English of French) (required)

Proposed topic: (required)

Form of participation (keynote speaker, panel discussion...): (required)

Location of event: (required)

Sponsor of event: (required)

Reason for request (briefly describe how the participation of the Court's representative would be pertinent to your schedule and plans): (required)

Anticipated number of attendees: (required)

Other invited guests:

Other confirmed guests:

Has a member of the Court already attended this event in the past?: (required)

Will members of the press/media be present?: (required)

Additional comments:

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Requesting a Speaker from the Court

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