a la carte

Cultural Offerings à la Carte - Nomination Form

Recommendations for New Cultural Offerings

If a member Alliance is submitting this form, please contact the speaker/artist directly to obtain his/her written approval for the nomination. A speaker or artist may send a self nomination.


Name of Speaker or Artist:   
Mailing Address:   
Phone:   
E-mail:   
Fax:   
Type of Program Proposed:    Lecture Music Dance Theater Other
Brief Background of Speaker or Artist:   
Title and Description of Lecture(s) or Program(s):   
Fee or Honorarium (per performance):   
Technical requirements (if any):   
Nominated by:   
Mailing Address:   
Phone:   
E-mail:   
Fax:   
Presented at an AF in the past?    Yes No
If Yes, Which AF?   
Acceptance of Nomination by Speaker or Artist

By submitting this form I agree to have my name published on the Federation National Speakers and Programs List and understand this information will also be made available on the Federation Web site:
Name:   
Date:   
    

Each Alliance will contact the proposed speaker/performer directly and will assume full financial responsibility for all the necessary arrangements: including dates, travel, lodging, honorarium, per diem. The Federation will not be party to any arrangements or negotiations, nor will the Federation assume any financial or legal responsibility.

Once a speaker/artist has made a presentation at your Alliance, please send your feedback and suggestions to federation@afusa.org.

If you have questions or need information, please contact Alexandra Stafford, Cultural Offerings Chair, at: eas401@aol.com or phone her at (504) 628-0055.