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To request a NASA speaker, please fill out the request form below and provide as much information as possible about the event. Note: This form can not be used to request an astronaut appearance. View more information on astronaut appearances.

* Indicates a required field. If not applicable, enter N/A.
Contact information of person requesting a speaker:
*
*
*
*
*
*
*
* * *
City, State, and Zip Code are only required if the country is United States
 
Event Name and Address:
*
* event organizer Help
*
* event sponsor Help
* table sponsor Help
* Event Date Help Date Selector
If multiple dates or flexible dates, please enter one date here and provide details in the comments at the bottom of this form.
* Start Time Help     (local time to the event)
* speaker Time Help     (local time to the event)
*
*
* * *
City, State, and Zip Code are only required if the country is United States
 
Other Event Information:
         
Topic Requested Help
This form should NOT be used to request an Astronaut. Go to Request Astronaut Appearance.
* Expected Audience Size Help  (numbers only)
* Audience Description Help
Confirmation Requested By Help Date Selector
Justification for expediting request By Help
 
 
Indicate Equipment Available
 
 
 
Any other information that may help to clarify your request:
 
 
You may attach 2 documents to this request (event agenda, event description, etc.). Only PDF file Format accepted:
 

Terms and Conditions Help I agree that no person for reason of race, color, sex, religion or national origin, will be excluded from or segregated within membership in sponsoring organization, attendance at event or any of the facilities housing this event.