Request a Speaker – Stuart Follow-up - The Ability Center

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Request a Speaker – Stuart Follow-up

Your Name*
First Last
Your Phone #*
Your Email*
Date of presentation*
MM slash DD slash YYYY
Arrival Time Requested

: Hours

Minutes

AM/PM
Event Address
Street Address City State ZIP Code
Is the building entrance and location of the event wheelchair accessible?*
- Yes
- No
Who will greet/guide Stuart and where will they meet?
Please provide directions to accessible parking lot and accessible entrance:
Please provide a map of event space indicating accessible parking and entrance:
Max. file size: 80 MB.
Will Stuart be speaking/presenting?*
- Yes
- No
Is there a stage?*
- Yes
- No
Will there be a ramp to make the stage accessible?*
- Yes
- No
Will you provide a table or podium that can be lowered to wheelchair height?*
- Yes
- No
Will a microphone be provided?*
- Yes
- No
Is there a microphone that can be lowered to 2.5 feet, or is it removable?*
- Yes
- No
Will ACT need to provide a PowerPoint?*
- Yes
- No
Will a PowerPoint be presented by others?*
- Yes
- No
Is closed captioning enabled on the PowerPoint?*
- Yes
- No
Will there be a Q&A session with the audience?*
- Yes
- No
Will the audience or room be large enough that a microphone will be needed (provided) for the audience to speak into?*
- Yes
- No
Comments
This field is for validation purposes and should be left unchanged.

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The Ability Center

5605 Monroe Street
Sylvania, OH 43560

Bryan Satellite Office

1425 East High Street, Suite 108
Bryan, OH 43506

Phone: 419-885-5733
Fax: 419-882-4813

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The Ability Center

5605 Monroe Street
Sylvania, OH 43560

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