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Request a speaker

If you would like to request an MPS speaker at an event you are planning, please complete the details below. We will then get in touch to let you know whether we are able to help.

Name:

Job Title:

Organisation:

Address:

Telephone number:

Email address:

Date, time and duration of event:

Location of event:

Description of event:

Number/description of attendees:

Description of talk required:

Has MPS provided a speaker for this event previously?:

YesNo

Please confirm that reasonable travelling expenses will be met:

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The Medical Protection Society Limited. A company limited by guarantee.
Registered in England No. 36142 at 33 Cavendish Square, London, W1G 0PS. VAT number 524 251475.
Tel: +44 (0)20 7399 1300 Fax: +44 (0)20 7399 1301 Email: info@mps.org.uk
MPS is not an insurance company. All the benefits of membership of MPS are discretionary
as set out in the Memorandum and Articles of Association.