Ambassador Booking Form

Our brilliant volunteer engagement ambassadors across Bucks and Herts excel at public speaking and would love to meet your group, club or association. Please complete the booking form below and we will be in touch.

Engagement Ambassador Booking Form

Thank you for your enquiry regarding a talk from a Rennie Grove Peace Hospice Care Ambassador. Please complete the details below and a member of the Community Fundraising team will be in touch with you.

Organisation name(Required)

Event title(Required)

Date of event(Required)

Event location (full address, including postcode)(Required)

Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country

Contact name(Required)

Prefix First Last

Position within organisation(Required)

Contact telephone number(Required)

Email(Required)

Enter Email Confirm Email

Time of event(Required)

Will a meal be provided?(Required)

(For example at a talk for a golf club/Rotary meal)

Yes

Specific duties (e.g. collect cheque, propose toast, length of talk/presentation)(Required)

For talks and presentations, please indicate if you would like a Power Point presentation(Required)

Yes

If Power Point presentation required, please specify the AV equipment you will provide e.g. laptop, projector, screen

Expected audience total(Required)

Parking arrangements(Required)

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Ambassador Booking Form

Engagement Ambassador Booking Form

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