SPEAKER & PUBLIC ENGAGEMENT REQUEST FORM — Patagonia Works

SPEAKER & PUBLIC ENGAGEMENT REQUEST FORM

Thanks for considering us for a future event.

At Patagonia, we welcome the opportunity to share our ideas and experiences with the broader business community, academic institutions, think tanks, activists, designers and policymakers, as well as those working to save our home planet. As you likely know, we believe business can and should be a force for positive change.

To help us make the most informed decision about your request for a Patagonia representative to speak, please fill out the below speaker request form.

Please know we do our best to read all requests in a timely manner. Due to the high volume of inquiries, we aren't able to personally respond to every request. If we are interested in exploring your event further, you can expect to hear from us in 1-2 weeks, if not sooner. If you do not hear from us, it is safe to assume that we unfortunately will not be able to participate in your event.

SPEAKER & PUBLIC ENGAGEMENT

Request Form

* Indicates required

Organization name

Event name

Event date

YYYY

Event location

Event description

Event website

http://

Who will make up the audience?

Audience size

Who from Patagonia are you requesting to speak?

Will this event be virtual or in-person?

Is this for a keynote, panel or fireside chat?

What topic or subject are you interested in hearing about from this person?

Are you open to an alternative speaker from Patagonia if your top choice is not available?

Have you requested a speaker from Patagonia for this same event in years past?

If yes, from which years?

Will media be in attendance?

If so, who?

Has this event received any press attention in the past?

If yes, please include a few links to past press coverage

Please list other potential or confirmed participants for this year’s event

Did a Patagonia employee refer you?

If so, who?

If this is an in-person event, are you able to cover expenses for the Patagonia employee to attend? (this does not apply to non-profits)

Is there a ticket cost for people to attend this event? If so, are you willing to provide tickets to Patagonia employees at no cost?

Contact Details

Name

First Name

Last Name

Phone

(###)

###

####

When is your deadline to hear back from us?

YYYY