GAMC Speaker's Bureau - Interest Form

Glendale Adventist Medical Center has a FREE speaker's bureau of doctors and medical experts covering a wide range of topics. Our speakers offer presentations at local companies, community events, professional organizations and interviews for the news media. If you would like a GAMC speaker to attend your next event, please provide the following information:
* Indicates required information
Name *
Street Address 1 *
Street Address 2
City *
State *
Zip
Daytime Phone *
Email Address
I would like a speaker for:	Local Business Community Event Professional Organization Health Fair Social / Networking Organization Other If Other, please specify:
Date & Time of the Presentation
Length of Presentation
I would like the speaker to talk about...
Presentation Language	English Armenian Spanish Other If Other, please specify:
Other details
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1509 Wilson Terrace • Glendale, CA 91206 • Tel: 818-409-8000