Request a Speaker

As part of our mission, Indiana Donor Network provides community services and education materials at no charge. Staff members and volunteers trained to speak about organ and tissue donation are available to attend health fairs, community events, club and organization meetings and business events. Complete the form below to let us know of your event or need, or call us at 888.275.4676.

If you would like to request a speaker for an upcoming event, fill out the following information:

Your Information

Name *

First

Last *

Last

Name of your organization/business

City

County

Phone

Best way and time to reach you:

Event Information

If your event date has already been scheduled, please provide the date and time

Type of Event *

Explain Type of Event

Number of participants expected

Date

Time

First Choice (Optional - if Applicable)

Date

Time

Second Choice (Optional - if Applicable)

Date

Time

Third Choice (Optional - if Applicable)

Date

Time

Questions or additional event information

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