Colleen Hawley

"Ms. Hawley is attuned to growth-related issues on the north shore and would be a strong advocate for the needs of this booming area." Read More...

Speaker Request Form

Please complete the following information, which will help us to confirm

your request for Colleen to speak at your event as soon as possible. Thank You!

Click Here for a PDF version and mail it into the address at the bottom.

ORGANIZATION MAKING REQUEST:

TYPE OF ORGANIZATION:

CONTACT PERSON’S NAME:

CONTACT PERSON’S PHONE NUMBER(S):

CONTACT PERSON’S E-MAIL ADDRESS:

DATE REQUESTED:

TIME REQUESTED: AM / PM

ADDRESS OF EVENT:

DIRECTIONS TO EVENT:

What format is the event (i.e. meeting, dinner, forum, etc.)

How long will Colleen be speaking?

How many guests attending?

Is there a particular topic or theme to address?

Will others be speaking also? Explain:

May Colleen bring materials to be handed out?

Please include anything else that you feel we should know in order to schedule and plan for this event:

Paid for by the Friends of Colleen Hawley Campaign