Speaker Request

We look forward to working with you!

Please complete the contact form below to request Debbie Harvey at your next event.
If you have any questions, please contact us at (703) 298-3183.

Name *

First

Last

Phone Number *

Email *

Organization Name *

Event Name *

Event Date *

Event Time *

Event Type

Fundraiser
Conference
Motivational
Church
Community Group
Other

Suggested Speaking Time

What typical honorarium amount do you provide for this type of event?

Are you be able to provide travel and expenses?

What is the overall purpose of the event? *

Audience Makeup (e.g., students, volunteer organizations, non-profits, etc.)

Has the audience seen the HHA Video?

Will Debbie Harvey be the main speaker?

Would you kindly tell us who the other speakers are?

What else should we know about your organization or the event in order to make this the best event possible?

How did you hear about Debbie Harvey and Helping Haitian Angels?

Newspaper Article
TV / News
Facebook
Twitter
HHA Website
Friend / Word of Mouth

Name

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Helping Haitian Angels (HHA) is a non-profit 501(c)(3) organization.
All donations are tax deductible to the full extent permitted by the law. EIN: 26-4545377
Copyright © 2023 Helping Haitian Angels. All Rights Reserved. | PO Box 692, Haymarket, VA 20169 | (703) 298-3183

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