Polk County Bar Association Des Moines Iowa

Phone: (515) 243-3904
Fax: (515) 244-8845
Email: Info@pcbaonline.org

Executive Director:
Carol Burdette
Email: cburdette@pcbaonline.org

Speakers Bureau I Speakers Bureau Request Form


Date of Request
Organization
Contact Person
Address
City
State
Zip Code
Phone
Email
Address of event if different than organization address.
Address
City
State
Zip Code

Date of Presentation
Time of Presentation
Duration of Presentation
Topic
Event Description
Number of Attendees
Age of Attendees
Additional Comments