Request a Speaker

To a request a speaker from the National Museum of Civil War Medicine, simply fill out the form below.

Not what you were looking for? Click here to learn more about our Speaker’s Bureau.

Request a Speaker's Bureau Expert

Your Name *

Affiliated Organization

Phone Number *

E-mail Address *

What type of group will the speaker be talking to? *

What would you like the speaker to speak about? *

Approximate Group Size *

How long would you like the presentation to be? *

When will the presentation take place? *

Put your first choice of date and time here

Put your second choice of date and time here

Where will the presentation take place? *

Venue name and address

Additional Comments/Questions/Requests

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