Request for Speaking Engagements
If you wish for Rochelle to attend your speaking engagement please complete the forms below and we will be in contact.
Please note that completing this forms does not guarantee attendance of Rochelle or a Share the Dignity Representative for your event.
Address of Event
Suburb for Event
State of Event
Date of event
Are you Flexible with date of event
If yes please provide alternative dates
Proposed # of attendees
Approx age of attendees
Will you require a powerpoint presentation?
Would be nice if available
We have AV facilities
April & August Dignity Drive for Sanitary Items
International Womens Day
Share the Dignity in General
#Pinkbox Dignity Vending Machines
If Other, Please let us know what you would like us to cover.
If Rochelle is unavailable would you be happy for a local representative to attend in her place?
We would like only Rochelle to Present
We would love anyone from Share the Dignity to present
Please upload any information you wish to provide to Rochelle
Send me a copy of my responses
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