JXN Water

Request a JXN Water Speaker

JXN Water Speaker Request Form

Thank you for contacting JXN Water. We appreciate your interest in inviting JXN Water to participate in your event. All meeting and speaking requests must be submitted through the web form below. We request that you submit this form along with any supporting materials a minimum of four weeks and preferably 12-weeks prior to the event date. Please note that all requests will be reviewed before a final determination is made. Please allow 3-5 business days for decisions to be made.For any questions, please contact Ameerah Palacios at [email protected].

MM slash DD slash YYYY
Please enter a number greater than or equal to 15.
The minimum audience is 15 or more. For smaller groups or 1:1 meeting requests please email [email protected].
Speaking Start Time
Event Type and Presentation Format(Required)
Event Address
(List names and titles of members of Congress, heads of state, CEOs, or other VIPs participating in, or attending your event)
Max. file size: 50 MB.
Please upload the agenda for your event to give JXN Water an idea of how much time you will give the speaker.
Your Name(Required)
This field is for validation purposes and should be left unchanged.