Speaker request form

Thank you for your interest in having a speaker visit from Medical Detection Dogs. To request a visit from one of our speakers please complete the form on the right. We will endeavour to get back to you as soon as possible.

Please note that all of our speakers are volunteers for the charity who generously give their time to support us. It would therefore be appreciated if you could give as much notice as possible.

We also hope you will understand that sometimes volunteers’ plans change and they may no longer be able to honour a booking at short notice.  We will always do our very best to provide an alternative speaker but this is not always possible given the resources available to us as a small charity so we are grateful for your understanding in the event we may need to rearrange your talk.

All information will be held by Medical Detection Dogs in adherence with the Data Protection Guidelines. We will use your personal information collected on this form to process your speaker request. Details of your personal information may be made available to other volunteers and employees within the charity to enable us to work effectively together.

Donation / Communication

  • A suggested £50 donation is requested to cover the speaker materials and expenses.
    Please confirm if your organisation/group is happy to make a donation?
  • We would like to keep in touch with you to share Medical Detection Dogs news, volunteering opportunities, fundraising activities and events. Please tick the boxes below to tell us how you would like to receive this information:
  • We will be in contact with you to discuss your request during the booking process. Please tick the boxes below to tell us all of the ways you would be happy for us to contact you about your request.
  • Please be assured that Medical Detection Dogs will look after and use your data with the utmost care, and will never swap or sell it. You can see our fundraising promise and privacy statements, which explain what you can expect from us and how we collect and manage information about you by clicking this link. You can change the way we communicate with you at any time by contacting operations@medicaldetectiondogs.org.uk or by calling 01296 655888
  • We like to send thank you letters for all donations. Please confirm the Contact Name & Address to be used for this purpose:
 

Organisation / Group

 

Talk Details

  • Please provide details of the venue. Include contact name, telephone and email only if they are different from the above.
  • Please provide date(s) you would like one of our speakers to attend.
    It is advisable to provide several options.
    Date format is dd/mm/yyyy
  • Visual Aids / General

  • Would the speaker need to provide:
  • Would you allow a sales table of Medical Detection Dogs merchandise?
  • Additional Comments / Requirements

 

Verification

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