Conn-Selmer Educational Clinician Request

Thank you for your interest in working with one of our Conn-Selmer Educational Clinicians. Please note this request is not a binding agreement between your organization, Conn-Selmer, or any of the clinicians. Please note that in order for your request to be considered, your event needs to be no sooner than 90 days from the time your request is submitted. Once your form has been submitted, a Conn-Selmer representative will contact you to finalize the arrangement. Please allow 7-10 business days for our team to process your request.
Requestor's Financial Commitment
In the event your organization does contract with any of our educational clinicians, a financial commitment will be necessary. Your organization is responsible for paying the agreed-upon clinician honorarium, ALL travel expenses - including airfare, parking, meals, and lodging. 
*All financial arrangements are handled directly between the requesting organization and the requested clinician.
Your contact information
About your event
Requested Service (please check all that apply): *
Please list your requested clinician(s) below. See our full roster of educational clinicians here.
[This form is limited to 5 requests, to request additional clinicians please submit a second form.]
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