Guest Speaking and Exhibition Request Form
 
Please allow a minimum of two weeks notice. If your request is urgent, please call Carers NSW directly on (02) 9280 4744. 
 

 
Type of request:*
 
Name of Organisation*
 
Select your organisation type:* If you selected 'other' please specify
 
 
Contact Name*
 
Position*
 
Email address*
 
  
Contact phone number (without spaces)
 
Address (incl. street name and number)
 
City/Town
 
Postcode
 
  
State
 
  
 

Guest Speaking and Exhibition Request Form
 
Event details:
Date of Event*
 
 
Venue Details*
 
 
Suburb*
 
Start time and duration of presentation/exhibition
 
Estimated number of people attending
 
Type of event*
 
Audience*
 
If you selected 'other' please specify
 
If the audience is carers, please indicate the type of carers
 
Presentation topic*
 
If you selected 'other' please specify