Book a Talk

First Name (required)

Surname (required)

Organisation, business or group name (required)

Your position at the organisation, business or group (required)

Phone (required)

Email (required)

Please tell us a little about why you would like us to visit your organisation/business/group.

Do you have a date in mind for us to deliver the talk? (required)

Do you have a specific time in mind? (required)

How many people are attending the talk?

The address/location of where you would like the talk (required)

Which county would you like your talk in? (required)

DorsetSomerset

What length talk would you be interested in? (required)

Short (Approx 20 mins)Long - (Approx 40 mins)

Are you happy to cover our costs and pay the suggested £50 donation? (required)

YesNo

Is there on site parking available? (required)

Yes (free)Yes (paid)No

Please tick if you have the following equipment available on site. Leave unticked if you do not have the equipment or they are unavailable.

ScreenLaptopProjector

Would you like us to bring along merchandise? (required)

YesNo

Does your organisation have a Zoom account through which you could ’host’ a talk? (required)

YesNo

Additional comments

I’m happy to be contacted by email (required)

Yes pleaseNo sorry

Please tick the box to confirm you understand that the information you enter into this form will be collected and stored by Dorset and Somerset Air Ambulance. (required)

I understand

Book a Talk

Your contact details

Talk details

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