Speaker Request

Thank you for your interest in having an Electronic Arts representative at your event. To help us facilitate your request, please complete and submit the following form at least 30 days prior to the event date.

Name of Organization Submitting Request: *
 
Your Name: *
 
Your Email: *
 
Event Name & Website: *
 
Event Location:
Event Date/Time: *
 
Event Description & Purpose: *
 
Preferred Electronic Arts Speaker & Discussion Topic(s):
Speaker Participation Type & Time Length (for example: Welcome Remarks, Panelist, Panel Moderator, Keynote Address/Speech):
Audience Details (Please describe the size of the audience and who will be attending):
 
Enter the code shown above.