Booking Details

If your selected ambassador is not available, we will advise you and make a recommendation of an alternate speaker. This sometimes occurs due to travel constraints (i.e. ambassadors can be located in regional or remote areas).

Date & Time

(e.g. "24 May 2016 from 10am to 2pm, and on the 25 May 2016 from 11am...")
When is the ambassador needed?
About Your Event

(e.g. L&L MS Awareness Fundraiser)

(What started the idea to run this event? What activities or workshops are planned? Who else is speaking? Is there anything special about the venue? Why should people attend?)

(How will an MS Ambassador enhance the event? What do you think people will get out of the presentation?)

(e.g. "the venue is tentatively booked at the moment, it may change")

(e.g. agenda, flyer, brochure, etc)

(e.g. parking available at centre, paid car park next door, on-street 2P parking, etc)

Venue Address

(inc. suite no.)

(ACT, VIC, NSW, & TAS only)
Your Details

(e.g. Mr, Ms, etc)

(optional, but recommended)
Organisation Details

Mailing address

(inc. suite no.)

(ACT, VIC, NSW, & TAS only)