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COS Speaker Request Form

Please note: All Speaker Request inquiries will be answered by Airport Administration staff during their normal business hours, Monday - Friday, 8:00 a.m. and 5:00 p.m.

The following information is confidential and will only be used to respond to your query.

*Indicates required fields.

*Date(s) requesting speaker:


*Organization Name:


*Contact name in your organization :


Organization mailing address:



*Phone:
*Fax:
*Email:

*Meeting start and end time:


*What time would you like the speaker to begin:


Time allotted for speaker:


General agenda of your meeting? (i.e., lunch, minutes, announcements, awards, guest speaker, etc.):


What is the general purpose of your organization or class:


Number of people attending event?


Age of most of the people who will attend this meeting?
18-25 25-40 35-50 45-65 65+

If school age, please indicate grade(s) & age groups:


Topics you would like covered?


Why is the group interested in these topics?


How will the room be set up? (restaurant style, classroom, group tables, etc.)


Directions to the meeting: (Please give directions from Colorado Springs Airport)


What audio/visual equipment will be available?

Projector ScreenFlipchartPowerPointOther

Is there any other information you would like for us to know?


Thank you for this information. We look forward to seeing you.