Home
>
Forms
Request a Speaker
Leave This Blank:
Please complete the following information to request a speaker from the Office of the Kansas Securities Commissioner. Request subject to availability.
Event Date:
Event Time:
Number Attending:
Group or Organization:
Contact Information:
Name:
Email:
Phone:
Cell Phone:
Fax:
Event Information:
Event Name:
Address:
City:
State:
Zip:
Contact at Event:
Phone:
Is the event open to the public?
No
Yes
Will a meal be served?
No
Yes
Is this a request for the Commissioner only?
No
Yes
If the Commissioner is not available, would another agency representative be OK?
No
Yes
Special Directions to the Event:
Type of Appearance:
Appearance Only:
Brief Remarks:
Keynote Speaker:
Drop by:
Welcome:
Exact Speaking Time:
Time Allowed for Speech:
Q&A Time:
Our office has several presentations available for the public. Please select one of the following topics:
Outsmarting Investment Fraud
Women and Investing
Capital Formation
For Industry Professionals- Registration Filings & Disclosures
For Industry Professionals: Creating Effective Compliance Systems & Practices
For Industry Professionals: Administrative Enforcement and Procedures
Other Speakers:
Who Introduces?
Who will greet the Commissioner or speaker?
Attire:
Is there an LCD Projector, Screen and Laptop Available?
Yes
No
Media Contact:
Bio requested?
Yes
No
Additional Information:
Live Edit
Close