Speaker Request Form


Thank you for your interest in having Dr. Maria Nemeth as speaker at your event. In order to help us facilitate your request, please complete and submit the following form (and any corresponding attachments) to [email protected] at least 2 weeks prior to the event, and allow 3-5 business days for decisions to be made.

If you have any questions or need help completing the Speaker Request Form, please call Dr. Maria Nemeth Office at +1 (916) 798-7066.

    Part 1: Event Organizer

    Part 2: Event Details

    Part 3: Presentation/Speech Details

    Part 4: Audience Details

    Part 5: Additional Information