CAPCA: Chesapeake Area Professional Captains Association - CAPCA: Chesapeake Area Professional Captains Association

Welcome to CAPCA's Speaker's Bureau. To request a speaker for your group, please fill out this form and click SUBMIT at the bottom. All fields are required. If you have questions, please e-mail speakers@capca.net.

Your Name(*)

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Your Organization(*)

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Your title(*)

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Your E-mail(*)

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Your Contact Phone(*)

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How did you find CAPCA?(*)

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Type of organization(*)

Other, please explain

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Your Organization's website (write "none" if you don't have a website)

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Location of Event(*)

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Date of event mm/dd/yyyy(*)

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Street address of event(*)

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City of event(*)

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Event location state(*)

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Zip code of event location(*)

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Time talk starts(*)

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Approximate length of talk, including questions.(*)

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Topic desired. Please explain details.(*)

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Predicted audience knowledge of topic(*)

well-informedmoderately-informedknow very little

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Please explain any other information the speaker should know about the event or the audience.

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Expected attendance (number)(*)

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Do you have a laptop?(*)

YesNo

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Do you have a computer projector?(*)

yesno

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Do you have a projection screen?(*)

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Do you have a microphone?(*)

yesnosmall room, microphone unnecessary

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What is the dress code for the event?(*)

CasualBusiness attire

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Please note that neither CAPCA nor the speakers we send out may accept payment for giving a presentation at your event. This is part of CAPCA's service to the maritime community. We will get back to you with our response as soon as the speakers bureau coordinator looks through our speaker database. Thank you for contacting CAPCA.

Please click the box if you're not a robot.(*)

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Please submit your request for a speaker.

Request a CAPCA Speaker