BOOK A SPEAKER

* Organization to be addressed:

* Requested date(s):

* Type of presentation
(What is your organization interested in learning?):

* Contact name:

* Contact's phone number:

* Contact's email address:

* Contact's cell phone on day of presentation:

* Location of presentation:

* Address:

Cross streets or significant landmark:

Parking information:

Speaker check in information:

* Type of event:

* Event start/end time:

* Presentation start/end time:

Number of attendees:

Will the media be in attendance?

Will audio/visual equipment (i.e. laptop, projector and screen)
be provided?

How did you hear about this opportunity?

Other:

* In connection with participating in the Orange County Water District ("OCWD") Facilities Tours, I hereby unconditionally authorize and consent to OCWD using videotape, audio, photographic, electronic and/or any other media image, quotations, likeness, or electronic or photographic reproduction in any manner, in whole or in part, for any and all educational, promotional, marketing, news, or outreach activities of OCWD.