Request a Speaker or Activity from LPL

First Name *

ALL FIELDS MUST BE COMPLETED IN ORDER TO SUBMIT THE FORM.

Last Name *

Title *

Affiliation/Sponsoring Group *

Phone Number OR Email Address *

Event Name *

Event Date *

Month

Day

Year

Event Start Time *

Hour

:

Minute

am

pm

Event End Time *

Hour

:

Minute

am

pm

Event Location *

Anticipated attendance *

What do you want us to talk about or do? *

Please describe your event and/or the type of speaker you would like to request.

Please give us more details about your event *

What topic(s) interest you? Enter one or more from the sample list here, or enter/describe your interest. Examples of lecture/demo topics: Astrobiology, Atmospheres, Asteroids, Astronomy, Careers in science/engineering, Cosmochemistry, Craters, Extrasolar planets, Fluvial erosion, Geochemistry, Glaciers, HiRISE, Icy satellites, Inner solar system, Io, Landforms, Life as a female scientist/grad student, Mars, Martian climate change, Meteorites, the Moon, Orbits, OSIRIS-REx, Planetary climate, Planetary geology, Rock weathering, Rocky planet interiors, Solar system, Stars, Telescopes/observing, Terrestrial bodies, Titan, Transits, Volcanoes.

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