407 Tulip Street

Liverpool, NY, 13088

18337210605

Community-based care for your healing & recovery

Your Custom Text Here

PRESENTATION REQUEST

If you are interested in having us provide a presentation, workshop or keynote, please fill out the following form and one of our staff members will be in touch shortly. Thank you!

Name

First Name

Last Name

Name of business, school or organization

Email Address

Phone number

(###)

###

####

Date of request

YYYY

Desired date of presentation

YYYY

Time

Hour

Minute

Second

Message

Please tell us your primary goals for the presentation, your ideal takeaways, and any other pertinent details you can think of.

About how many attendees do you expect?

Where will the presentation take place?

Are you able to support our education efforts with a speaker's fee?

Speaker fee helps to defray our costs and allows us to continue prevention efforts throughout the community.