Presentation Request Form

Use this form to request a presentation from an LPC biologist at your organization's event.

Organization Name
Name
Email
Phone
Presentation Date
MM slash DD slash YYYY
Presentation Address
Where is your event being held? Please be as specific as possible. Please note that we are only able to present in New Hampshire.

Street Address Address Line 2 City State
Presentation Start Time

: Hours

Minutes

AM/PM
Please provide details about what you want the presentation to include.
LPC's presentations typically cover the basics of loon biology, information regarding threats to loons in New Hampshire, and information about our work to address those threats. If given advance notice, we are able to accommodate requests for modifications to this presentation format. Please describe the information you would like the presentation to include.
LPC typically requests a $100 honorarium fee to cover staff time and mileage. Is your organization able to provide this fee?
In the event that this fee is outside of the budget of your organization, we may be able to waive this fee. Please answer 'no' below and we will be in touch.
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Name
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