Request a Speaker

To schedule a speaker or for more information, contact Jackie Larsen, coordinator, at 814-870-4745 or fill out this form completely and submit it electronically. You will be contacted following submission of this form. The Deo Insurance Group Speakers' Bureau is currently available to organizations in the Northwest Pennsylvania region and surrounding areas.

The following information is required to fulfill your request for a speaker. Please allow at least two weeks advance notice.

Name of Organization:
Contact Person:
Phone Number:
Date of Presentation (first choice):
Time of Presentation (first choice):

Date of Presentation (second choice):
Time of Presentation (second choice):

Location of Presentation:
Estimated Number of Participants:
Estimated Length of Presentation:
Topic of Interest:


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