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Request a CPUC SpeakerPlease provide the following information:
Organization Name:
Type of Organization:
Program Length: Audience Size:
Audience Profile:
Location: Response needed from CPUC by:
If you are requesting a specific CPUC Employee, please include the name of the speaker:
Additional Comments or Notes:
Website Address for Event (if applicable):
Contact for Event:
Name: Title:
Organization Name:
Email Address:
Phone Number (xxx-xx-xxxx):
Keynote Panel Member Moderator Other
Community MembersBusiness Leaders
Regulators
Other
Lawyers
Students Utility Staff
If the request is for a panel member, please indicate the name and/or organizations of other panel members invited (you must include the names of the other panel members):
Type of Speaking Engagement:
Topic:
What is the cost to attend the conference?Yes NoIs the conference open to the public?
Presentation Date: Presentation Time:
when complete, submit to: [email protected]
