CA CSLB Speakers Bureau Request Form

CONTRACTORS STATE LICENSE BOARD 9821 Business Park Drive, Sacramento, California 95827 Mailing Address: P.O. Box 26000, Sacramento, CA 95826 800-321-CSLB (2752) www.cslb.ca.gov STATE OF CALIFORNIA Arnold Schwarzenegger, Governor CSLB Speaks Speakers Bureau Request Form Today’s Date Date of Speaking Engagement Alternative Date Name of Your Organization Type of Organization (trade, consumer, etc.) Concerns of Your Membership Time Time Type of Event (monthly dinner meeting, conference, etc.) Where the Speech will fit into the program Topics of Interest Language other than English? Desired Length of Speech Time Speaker Should Arrive Total Number of Members Event Address & Room Is a Translator Available? Time for Questions & Answers Is PowerPoint Projector Available? Number Expected at Event Parking Situation Contact Name & Title Contact Phone Contact E-mail Contact FAX Contact Address Contact Phone Please print out and FAX or mail your request at least three (3) weeks in advance to: Contractors State License Board Attn: Maria Kennedy, Public Affairs Office 9821 Business Park Drive Sacramento, CA 95827 Phone: (916) 255-3273 Fax: (916) 255-1395 E-mail: mkennedy@cslb.ca.gov