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Speakers' Bureau Request

The Speakers' Bureau is a free community service to organizations in the NorthShore University HealthSystem service area.  As a courtesy to our speakers, we request a minimum of 20 participants at the presentation, or a 24 hour cancellation notice.  A minimum 3 weeks is required for all requests. NorthShore University HealthSystem will make every effort to try and accomodate your request.

Address Where Presentation will be Hosted
Please list in order of preference
Time 1 (please include am/pm)
Time 2 (please include am/pm)
Age (please check all that apply)

AV Availability (please check all that apply)