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FCAC speaking / event request form
From
Financial Consumer Agency of Canada
*
indicates mandatory field.
About the event
Name of event
Please enter an event name
Date
Please enter a valid event date
Time (EDT)
Please enter a valid time
Location
- Please select -
In-person
Virtual
Please make a selection
Address
Please enter an address
Virtual platform used
Please enter a virtual platform
About the host organization
Host/organizer
Please enter the name of the host/organizer
Brief introduction about your organization
Please enter a brief introduction about your organization
Website
Contact information
Name
Please enter a contact name
Title
Please enter the title of the contact person
Phone
Please enter a phone number for the contact person
Please enter a valid phone number for the contact person
Email
Please enter an e-mail address for the contact person
Please enter a valid e-mail address for the contact person
Date response required
Please enter a valid date
(Please allow
15 business days
for a response)
FCAC's participation
Participation type(s)
Keynote
Opening remarks
Speech
Presentation
Panelist
Exhibitor
Webinar
Other
Please select at least one participation type
Other participation type
Please specify the other type of participation
Requested FCAC speaker(s) if applicable
Requested topic(s)
FCAC overview
FCAC resources and tools for managing money
FCAC financial literacy programs and initiatives
FCAC regulatory framework or priorities
FCAC research and findings
Other
Please select at least one topic
Other topic
Please specify what topic(s) you are requesting
Length of speech/presentation
Please enter the length of speech/presentation requested
Language
- Please select -
English
French
Bilingual
Please select a language
Event details
Event description
Please enter a description of the event
Webpage
Agenda
(Max file size 250MB)
Audience
Please specify who are the main audience of this event, e.g. general public, government, employees, youth, women, etc.
Expected number of attendees
Please enter the expected number of attendees
Please enter a number greater than 10
Registration
- Please select -
Open to the public
By invitation
Registration fee
Other
Please select a registration type
Please specify
Please specify the other type of registration
Are there sponsors for the event?
- Please select -
Yes
No
Please make a selection
Sponsor name
Please enter the name(s) of the sponsor(s)
Will there be media presence at the event?
- Please select -
Yes
No
Please make a selection
Media contact
Please provide the name of the media contact
Additional information
Additional documents
(Max file size 250MB)
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Date modified:
2019-03-01
