Request a Speaker | Oklahoma Insurance Department

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INSURANCE COMMISSIONER

Glen Mulready

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Request a Speaker

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Please complete the following information to request a speaker from the Oklahoma Insurance Department. Request subject to availability. All requests must be made at least sixty (60) days in advance. All speech requests subject to cancellations.

DOWNLOAD COMMISSIONER BIO HERE

Request A Speaker Form

Step 1 of 4

25%

Event Date*
MM slash DD slash YYYY
Event Time*
Number Attending*
Primary Audience*
Group or Organization*
CE Requested? (speech must be 50 minutes in length for approval):
- Yes
- No

Full Name*
Email
Phone*

(no dashes e.g. 5554443333)

Event Name
Address*
City*
State*
Zip Code:

(no dashes e.g. 555554444)
Special Directions to the Event:
Contact Name at Event:*
Contact Cell Phone Number at Event:*

(no dashes e.g. 5554443333)
Is the event open to the public?*
- Yes
- No
Will a meal be served?*
- Yes
- No
If the Commissioner is not available would another department representative be OK?*
- Yes
- No

Please indicate the type of appearance requested:*
- Appearance Only
- Keynote Speaker
- Welcome
- Brief Remarks
- Drop by
Exact Time of Speech:*
Time Allowed for Speech:*
Please let us know what topics are of interest to your group:
- Health Care
- Fraud
- Consumers and General Insurance Issues
- About the Oklahoma Insurance Department
- Other, please list below
Q&A Time:
Will there be other Speakers?:
Attire:*
Is there an LCD Projector, Screen and Laptop Available?*
- Yes
- No
Bio Requested?
- Yes
- No
Photo Requested?
- Yes
- No
Additional Information:
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Oklahoma Insurance Department 400 NE 50th Street, Oklahoma City, OK 73105 405.521.2828 | Business Hours: 8:00 AM - 5:00 PM

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