Request a Speaker Host Organization Name Description Street Address City State Zip Code Website Contact Name Contact Email Contact Phone Presentation Details Name of requested Shatterproof Speaker Gary Mendell, CEO & Founder Kevin Roy, Chief Policy Officer Kirsten Suto Seckler, Chief Marketing and Communications OfficerDr. Lisa Kugler, Senior Vice President, Shatterproof Treatment AtlasShannon Biello, VP of Treatment Standards and Quality, Shatterproof Treatment AtlasShatterproof Ambassadors: A diverse group of individuals impacted by SUD from all over the US who are available to speak at community events. Please indicate the town and state your request is for in the event location field below and we will do our best to meet your needs. Presentation Length Will you cover the speaker's travel expenses and/or offer an honorarium YesNo Event Information Event Title Event Time Event Date Event Location Agenda for the Event/Conference Audience & Key Participants Audience Size 10-5051-100 101-150201-10001000+ Contact Information