Request a Secular Coalition for America speaker for your event

Your name:

Your e-mail address:

Your phone w/area code:

Group name:

Group URL:

Location (city, state):

Group's organizational affiliation(s)
(check all that apply):

Speaker requested:
1st choiceLori Lipman Brown, directorHerb Silverman, presidentOther (specify below)   2nd choiceLori Lipman Brown, directorHerb Silverman, presidentOther (specify below)

You can provide (check all that apply)*:
Hotel
Home hospitality
Travel reimbursement
Honorarium

*Groups not affiliated with Coalition members must cover the speaker's costs and are expected to provide an honorarium.

Additional comments and questions, including preferred dates: