Illinois Extension
Registration
Speaking Request for Master Gardeners and Naturalist in Fulton, Mason, Peoria, and Tazewell Counties
Thank you for your interest in our Master Gardener and Master Naturalist Speakers Bureau.
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Contact Information
First Name
Last Name
Street Address
Street Address 2
City
State
IL
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AL
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AR
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CO
CT
DE
FL
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ID
IN
IA
KS
KY
LA
ME
MD
MA
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MO
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OR
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ZIP
Daytime Phone
Evening Phone
E-mail Address
Choose from available options
Please make a selection
Requesting Organization:
Address of speaking location:
street name/number, city, and zip code
County:
select county of speaking location
Fulton
Mason
Peoria
Tazewell
Date(s) of presentation(s)
Topic requested:
please select from presentation list
Speaker start time:
Time allotted for speaker:
Audience size:
Audience demographic:
i.e. adults, children, etc.
Tell us what equipment you will have available:
Computer
Projector
Screen to view presentation
Other
Please describe your presentation objective/goals:
i.e. encouraging conservation, demonstrating a garden technique, etc.
Additional comments/questions:
Continue to Step 2