LWYL meeting request

Schedule a time!

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Name

First

Last

Address

Address Line 1

Address Line 2

City

State

Zip Code

Email

Phone

Name of the organization, meeting or group to which you would like us to discuss and present the survey.

Your role in the organization, meeting or group.

Example: Executive director, chairperson, facilitator, meeting leader, organizer, staff member, club member, etc.

Date and time of the requested presentation.

Date

Time

What is the preferred mode of the presentation?

In person
Via Zoom, Teams or another online meeting platform

If the meeting is online, we will be in touch regarding obtaining the necessary meeting access.

How much time will be allotted for the discussion (in minutes)?

Maximum of 15 to 20 minutes.