Representation Request

Representation Form

Please allow five minutes to complete and submit the form. Fields marked with an asterisk are mandatory.

Event information

*Name of the event

*Purpose of the event

*Date and time

*Name of the venue

*Physical address

Website

Contact person information

*Title

*First name

*Last name

Telephone 1

Telephone 2

*E-mail

Representation requested

*Speech

*Language

*Biography of the representative

*Dress code

*Guests allowed

Will there be other representatives, speakers or guest speakers?

Audience

*Number of people expected

*Type of audience

Guests of honour/special guests

*Guest journalists?

Technical information

*Physical layout

Technical equipment available

Headset microphone
Lapel microphone
Lectern
Presentation screen
Wired microphone
Other

Comments

Please use this space to provide any additional information about the event.

Attachments

In order for us to properly assess your request, please attach all relevant documents to allow us to better understand what your event is about (examples: program, highlights, history, statistics).

File 1 :

File 2 :

File 3 :

(.docx or .pdf)

Submit my form

FOR MORE INFORMATION

Communication Team
295 Saint-Pierre Blvd. West
P.O. Box 5554
Caraquet NB E1W 1B7

Email: communication@uni.ca