Request a Speaker

At Kline we seek opportunities to communicate with the industries we serve including chemicals, energy & petroleum, consumer products and life sciences. Kline’s industry experts can speak to critical issues your industry faces, insightful research findings and successful business strategy. Information about our speakers and their credentials can be found on our Management Profiles page. To request a speaker for your event please complete the request a speaker form below.

Fields denoted by asterisks (*) are Required.

Requester’s Information
* First Name:
* Last Name:
Title:
* Company:
Please tell us more about your company (i.e. industry, mission)
Address:
City:
State/Province:
Zip/Postal Code:
Country:
* Daytime Phone:	( ) - - Ext:
* Email Address:
Please tell us about your event:
Event Name:
Event Sponsor:
Event Date:
Event Type:
Event Topic/Theme:
Suggested topic for speech/presentation:
Event Address:
Event City:
Event State:
Event Zip Code:
Event Country:
Expected Attendance:
Enter any additional information (i.e. if you have a specific speaker in mind please tell us here)