Speaker’s Bureau Application

We provide the arts community with access to our region’s top lawyers and legal expertise on a wide range of topics.

To request a speaker please take the time to fill out this Speaker’s Bureau Request Form in its entirety. The fields ask you to tell us a little about you, your proposed program, and its goals. The more we understand your needs the better we can do our part to meet them.

Upon completing the form in its entirety, you may submit the form online by using the Submit button below. If you prefer you may also print this form and mail or fax it to Rachael Nave, Esq. at (215) 790-3600.

If you have any questions you may contact Rachael Nave, Esq. at (215) 790-3822 or [email protected] before submitting your form. Thank you for being in touch!

* These fields are required.


The purpose of this application is to gather as much information from you as possible so that PVLA can make the most appropriate speaker assignment for your needs and requirements. The more detail you provide the better we can server you.


Program Day & Date:

Location of Program (include a street address):


The fees for Speaker's Bureau activities are charged on a sliding scale based on the size of your organization, your ability to pay, and the scope of the program you are requesting. Our suggested fees range from $150 to $300 per program. If you have an extenuating circumstance or need subsidy to suppport your request, please let us know in advance.

If you have additional information which will help us better understand or meet your request, or there is additional information you would like us to know about you, you may enter it here:

Thank you for taking the time to complete this form.