Request a Speaker | Green Mountain Care Board

The Green Mountain Care Board wants to participate in an ongoing conversation with Vermonters about the state’s health system reform. If you would like to request that a GMCB representative speak with your group, fill out the form below. Please provide the as much information as possible to ensure the right person is chosen.

Name

Organization

Email Address

Telephone Number

Where will the event take place?

When would you like a speaker from the Green Mountain Care Board?

Is your event date flexible?

Yes

Please provide a brief description of your event, including any other speakers and their topics

Number of anticipated attendees

Do you plan to invite the public

Yes

Do you plan to invite the media

Yes

Do you have audio visual equipment available

Yes

Would your organization allow us to video tape this event

Yes

The majority of people there will be

If the attendees are a specialized audience, who are the attendees

What topics would you like the speaker to discuss

How much background knowledge do you think most of your audience will have about health care reform or the Green Mountain Care Board

Do you have additional questions, comments or requests

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