Presentation Request – Hawaii CapTel

Your Full Name *

Name of Organization *

Organization Website *
(example: http://www.yourwebsite.com)

Your Email Address *

Address *

Street Address Line 2 *

City *

Zip Code *

Your Phone Number *

Type of Contact
VoiceVideophone‎TTY‎Other:

What Hawaii CapTel service would you like us to give a presentation about? (select all that apply)Captioned Telephone (CapTel)‎WebCapTel‎Other:

Best way to reach you *

Preferred Date of Presentation *

Alternate Date of Presentation

How long presentation?

Number of Attendees? (approximate number) *

Any visual aid equipment available?

Large Screen‎Projector‎Internet‎WiFi‎Access to Electricity‎Other:

Verification *

Request for Presentation
by Hawaii CapTel