Connect & Engage

FWHC on facebook Feminist Center on Pinterest FWHC on twitter fwhc on youtube

Donate Online

engaging speakers

tables and boths for events

 

Our Community Education & Advocacy Network offers speakers, educational presentations, informational tables and booths on a variety of women's health and advocacy issues for a variety of events and groups. 

Please complete this request form and we will contact you to discuss further details.
Click the tabs to toggle form sections. Complete all required fields before submitting.

Contact Information

Items with * are required.

Full Name *
Please type your full name.
Organization *
Please let us know which group or organization you are with.
How did you find us? *
Please let us know how you heard about us.
E-mail *
Invalid email address.
Primary Phone *
Please provide us with your most used phone number.
Please specify the type of number.
Alternate Phone
Please provide us with another number.
Please specify the type of number.

Request Details

Items with * are required.

Type of Request *
Please let us know if you requesting a speaker and/or table
Desired Topic *
Please let us know what topic and type of information you are requesting.
Preferred Date *
Please select the date of the event
Preferred Time *
Please let us know the time(s)
Backup Date 1 *
Please select the date of the event
Time *
Please let us know the time(s)
Backup Date 2 *
Please select the date of the event
Time *
Please let us know the time(s)
Need confirmation by
Please select a date when we should contact you by.

Event Details

Items with * are required.

Name of Event*
Please tell us the name of the event you are requesting a speaker and/or table for.
Location*
Please let us know the location.
Expected Attendance*
Please let us know the estimated size of the group or event.
Group Demographics*
What are the demographics of the group or even attendees?
Additional details or questions
Let us know any additional details or questions you may have.
  

 

Feminist Women's Health Center

women's health resource1924 Cliff Valley Way NE

Atlanta, GA 30329

Community Outreach 404.248.5445

Clinic 404.728.7900 Toll Free 800.877.6013