Your Information First Name    Last Name  Email   Day Phone  Sponsor Name of Person or Group Sponsoring the Speaker   Is This a Non-Profit 501c3 Charity?                Yes   No Event Details Event Date Requested  Event Location Location Name Street Address  City  State  Zip  Please select programs and topics that interest you For topic descriptions please visit TOPICS PAGE (check as many as apply) Rescuing Wildlife - 90 minutes Walking on the Wild Side - 90 minutes Walking the Walk - 90 minutes Dealing with the Public Without Loosing Your Cool - 90 minutes Wildlife Capture and Transport - 5 hour seminar  Key Note Address Book Signing May we sell our books?  Yes   No Live Raptor Appearance (Pennsylvania Only) Other  (please specify)   Audience Information Estimated Number of Attendees   Age Group          All Ages      Adults Only      Describe Type of Group/Special Interest (ex: professional, book club, nature club, seniors, etc.)               That should be all we need to supply a quote for your venue. Please list any special requests, comments and notes here. Thank you for your interest in having Peggy speak at your group's function.