Comptroller Lierman Speaking Requests
If you are interested in having Comptroller Brooke E. Lierman participate in a speaking event, please complete and submit the form below. We request that submissions are made at a minimum of four-weeks prior to the event date. Please note all requests are reviewed internally before a determination is made. The Comptroller’s name should not be used as a confirmed participant until written confirmation has been provided by the Comptroller’s scheduling team.
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please leave your cell phone number so we can reach you at the event location.
Format: (000) 000-0000.
Event Title
*
Purpose of the Event
*
Event Date
*
/
Month
/
Day
Year
Date Picker Icon
Event Start Time
*
Hour Minutes
AM
PM
AM/PM Option
Event End Time
*
Hour Minutes
AM
PM
AM/PM Option
Event Type
*
In-Person
Virtual
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Virtual Platform Information
*
Please provide link to the event.
Comptroller Requested Arrival Time
*
Hour Minutes
AM
PM
AM/PM Option
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Point of Contact
Name
*
First Name
Last Name
Organization
*
Title
*
Cell Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
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Comptroller Speaking?
*
Yes
No
Will Comptroller be Presenting a Citation
*
Yes
No
Additional Information
Type of Remarks
*
Please Select
Closing
Keynote
Panel
Welcome
Other
Please Specify
*
Requested Length of Remarks
*
Suggested Talking Points/Subject Matter
*
Other Speakers in Attendance:
Audience for Event
*
{number of attendees, groups and interests represented)
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Will a Run of Show be Available?
*
Yes
No
Run of Show Additional Information
Date Available
*
-
Month
-
Day
Year
Date Picker Icon
Run of Show
*
File Upload
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Who will introduce the Comptroller?
(include name and title)
Please provide some background about the host organization(s):
Formality/Attire
Please Select
Business Casual
Casual
Formal
Other
Please Specify
*
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Press Invited?
Press Release
Yes
No
Press Release Upload
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VIP Invited
Please list expected and confirmed guests.
Post-Event Correspondence
Preferred Mailing Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Venue Layout/Logistics
Parking location and instructions.
Will there be a podium and microphone available?
Yes
No
Other Audio/Visual equipment (please list)
Please provide a venue layout, including seating and speaking positions. Attach map of venue if available.
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Virtual Event Logistics
Will the event be live streamed?
*
Yes
No
Where will event be streamed to?
*
Will there be a chat feed?
*
Yes
No
Will the event be recorded for later posting?
*
Yes
No
Where will recording be posted?
*
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Additional Information
Social media handles for organization:
Additional Documentation Upload
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Submit
Should be Empty: