Speaker Request
Organization Name* 

Your Name* 

Contact Phone Number* 

Contact Email 

Meeting Place Address 

Provide street address and city
Proposed Date of Event 
Date Picker
Proposed Time of Event 

Proposed Topic of Talk  

If you wish, we can suggest a topic for you
Proposed Length 

Estimated Number of Attendees 

I understand that any counselor/speaker has agreed not to (1) recommend goods or services from sources in which he/she has an interest and (2) accept fees or commissions developing form this counseling/speaking relationship.  In consideration of the counselor(s)/speakers furnishing management or technical assistance, I waive all claims against SBA personnel, SCORE and its host organizations, and other SBA Resource Counselors/speakers arising from this assistance.

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Silicon Valley SCORE gives talks on a variety of small business topics to organizations throughout the valley each year.  This service is provided at no charge.  If your organization is interested in having us speak at your meeting, please fill in this form.