RIO Executive Director
Lieutenant General Ron Dardis

Speaker Request Form

If your business or organization is in need of a speaker for a meeting or conference on topics related to the Iowa spring disasters of 2008, please fill out and submit a speaker request form or contact our office.

Click here to download the Speaker Request Form (.doc)

* = Required information

Primary Contact
Name*
Organization*
Phone Number*
Email*

Indicate Topic(s) of Interest

Spring 2008 Disasters

Overview of the Rebuild Iowa Office

Other (please explain)

Event Details
Name of Event*
Date of Presentation*
Time of Presentation*
Purpose of Event
Primary Audience

Logistics
Location of Presentation
Address*
City, State, Zip*
Length of Time Available for Presentation*
Estimated Number of Attendees

Indicate Presentation Equipment Available

Podium

Microphone and Sound System

Computer

Digital Projector

Projector Screen

Other(s) - (please indicate)

Additional Comments

Rebuild Iowa Office
Wallace Building | 502 E. Ninth Street | Des Moines, IA 50319 | (515) 242-5004