Request for Presentation
by Vermont Relay

Vermont Relay Outreach
Specialists give customized
presentations at no charge.

Your Name: *

Name of Organization: *

Organization Website:

Email Address: *

Phone Number: *

Type of Contact:Standard PhoneCapTel PhoneVideophoneTTY‎

Address: *

Street Address Line 2:

City:

State:

Zip Code:

What service(s) would you like us cover in the presentation?Relay ServicesCaptioned Telephone (CapTel)‎Speech-to-Speech (STS)‎Relay Conference Captioning (RCC)

Date of Presentation: *

Alternate Date of Presentation: *

Length of Presentation:

Approximate Number of Attendees:

Equipment Available for the Presentation:WiFiElectricity AccessProjectorScreen

Additional Information:

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