Speaker Bureau Request

LINN COUNTY MASTER GARDENER SPEAKER BUREAU REQUEST

ORGANIZATION: Click here to enter text.

CONTACT PERSON: Click here to enter text. E-MAIL: Click here to enter text. PHONE: (C)Click here to enter text. (H)Click here to enter text. (other) Click here to enter text.

DAY,DATE AND TIME: Click here to enter text. LOCATION: Click here to enter text. Phone # to call the day of the event. (If it is different from above): Click here to enter text.

APROX. NUMBER ATTENDING: Click here to enter text.

LENGTH OF PROGRAM: TOPIC: Choose an item. Other: Click here to enter text. TYPE OF PROGRAM:

MASTER GARDENER requested if any: Click here to enter text. Email Address: Click here to enter text. Telephone number: Click here to enter text.

Will the speaker present before or after a meal? ☐ Yes ☐ No Is there space for a slide screen, PowerPoint or overhead? ☐ Yes ☐ No Can the room be darkened? ☐ Yes ☐ No

Thanks so much! Deb Walser, Iowa State University Extension Master Gardener If you have any questions, email me at [email protected] or call me at 378- 4243 or contact the Master Gardener Coordinator at 319-377-9839.

The U.S. Department of Agriculture (USDA) prohibits discrimination in all its programs and activities on the basis of color, national origin, age, disability, and where applicable, sex, marital status, familial status, parental status, religion, sexual orientation, genetic information, political beliefs, reprisal, or because all or part of an individual’s income is derived from any public assistance program. (Not all prohibited bases apply to all programs) Persons with disabilities who require alternative means for communication of program information (Braille, large print, audiotape, etc.) should contact USDA's TARGET Center at 202-720-2600 (voice and TDD).To file a complaint of discrimination, write to USDA, Director, Office of Civil Rights, 1400 Independence Avenue SW, Washington, DC 20250-9410, or call 800-795-3272 (voice) or 202-720-6382 (TDD). USDA is an equal opportunity provider and employer.