Request for Speaker

United Way of the Midlands is pleased to have dedicated volunteers, partner agency personnel, community council stewards and UWM staff members who will speak to your group. 
Please complete the form below and we will schedule a person who is best qualified to address your selected topic.  Please call Joey Wallace at 803-748-7282 if you have questions. 
Fields marked with an asterisk(*) are required
Company *
Title
Contact First Name *
Contact Last Name *
Address 1
Address 2
City
State
Zip Code
Email Address *
 Phone
Fax
Request
Date
 Time
Type of speaker
 Audience Size
Location Address
Length of speech
 Dress