Book a speaker Request a Playlist For Life Speaker Thank you for your interest to hosting a speaking event in support of Playlist for Life. Please take the time to fill out this form so we can get a better idea of how we can to support you. About you First name Last name Email address Contact number Event information Where would you like to hold the event? Street address Town or city Postcode Please give us a brief description of the group or event our speaker will be attending What is the proposed date of your event? What is the proposed time of your event? Do you have a computer or laptop our speaker could use for a slide presentation?YesNo Is the venue accessible?Please select... Yes No Thank you for taking the time to contact us and provide this information. A member of the Playlist for Life team will be in touch. reCAPTCHA helps prevent automated form spam. The submit button will be disabled until you complete the CAPTCHA.