Home Departments Fire Request Speaker Request Speaker FIRE DEPARTMENT SPEAKER REQUEST FORM*Required information.If you are planning an event, please use this form to request a representative(s) from the Elon Fire Department. Edit Form First Name* Last Name* Organization* Phone* Email* Event Date* Time of Event* HH MM AM PM Type of Event* Please identify the type of event. Organization Meeting i.e. Rotary Club, Kiwanis, Etc. Conference Small Group School Assembly (Elementary, Middle, High School) Retirement Community Topic* Type of Presentation* Keynote Speaker Panelist Interactive Smoke or Carbon Monoxide Detectors Location of Event? Address Line 2 City State ZIP Code Please provide the location of the event.