diff --git a/bedrock/mozorg/forms.py b/bedrock/mozorg/forms.py
index 1fe6974019c..9a8becc8e46 100644
--- a/bedrock/mozorg/forms.py
+++ b/bedrock/mozorg/forms.py
@@ -79,10 +79,30 @@ def render(self, name, value, attrs=None):
             '</div>' % (honeypot_id, honeypot_txt, honeypot_id))
 
 
+class URLInput(widgets.TextInput):
+    input_type = 'url'
+
+
 class EmailInput(widgets.TextInput):
     input_type = 'email'
 
 
+class DateInput(widgets.DateInput):
+    input_type = 'date'
+
+
+class TimeInput(widgets.TimeInput):
+    input_type = 'time'
+
+
+class TelInput(widgets.TextInput):
+    input_type = 'tel'
+
+
+class NumberInput(widgets.TextInput):
+    input_type = 'number'
+
+
 class ContributeForm(forms.Form):
     email = forms.EmailField(widget=EmailInput(attrs={'required': 'required'}))
     privacy = forms.BooleanField(widget=PrivacyWidget)
diff --git a/bedrock/press/__init__.py b/bedrock/press/__init__.py
new file mode 100644
index 00000000000..e69de29bb2d
diff --git a/bedrock/press/forms.py b/bedrock/press/forms.py
new file mode 100644
index 00000000000..8b9756b8d9a
--- /dev/null
+++ b/bedrock/press/forms.py
@@ -0,0 +1,252 @@
+# coding: utf-8
+
+# This Source Code Form is subject to the terms of the Mozilla Public
+# License, v. 2.0. If a copy of the MPL was not distributed with this
+# file, You can obtain one at http://mozilla.org/MPL/2.0/.
+
+from django import forms
+
+from lib.l10n_utils.dotlang import _, _lazy
+
+from bedrock.mozorg.forms import (DateInput, EmailInput, HoneyPotWidget,
+                                  NumberInput, TelInput, TimeInput, URLInput)
+
+
+SPEAKER_REQUEST_FILE_SIZE_LIMIT = 5242880  # 5MB
+
+
+class SpeakerRequestForm(forms.Form):
+    # event fields
+    sr_event_name = forms.CharField(
+        max_length=255,
+        required=True,
+        error_messages={
+            'required': _lazy(u'Please enter a name for the event.'),
+        },
+        widget=forms.TextInput(
+            attrs={
+                'class': 'required',
+                'required': 'required',
+                'aria-required': 'true',
+            }
+        ),
+    )
+    sr_event_url = forms.URLField(
+        max_length=2000,
+        required=True,
+        error_messages={
+            'required': _lazy(u'Please enter a URL.'),
+            'invalid': _lazy(u'Please enter a valid URL.'),
+        },
+        widget=URLInput(
+            attrs={
+                'class': 'required',
+                'required': 'required',
+                'aria-required': 'true',
+                'placeholder': _lazy(u'http://www.my-event.com'),
+            }
+        ),
+    )
+    sr_event_date = forms.CharField(
+        required=True,
+        error_messages={
+            'required': _lazy(u'Please provide a date.'),
+        },
+        widget=DateInput(
+            attrs={
+                'class': 'required',
+                'required': 'required',
+                'aria-required': 'true',
+            }
+        ),
+    )
+    sr_event_time = forms.CharField(
+        required=True,
+        error_messages={
+            'required': _lazy(u'Please provide a time.'),
+        },
+        widget=TimeInput(
+            attrs={
+                'class': 'required',
+                'required': 'required',
+                'aria-required': 'true',
+            }
+        ),
+    )
+    sr_guest_speaker1 = forms.CharField(
+        max_length=200,
+        required=False,
+    )
+    sr_guest_speaker2 = forms.CharField(
+        max_length=200,
+        required=False,
+    )
+
+    # contact fields
+    sr_contact_name = forms.CharField(
+        max_length=200,
+        required=True,
+        widget=forms.TextInput(
+            attrs={
+                'required': 'required',
+                'class': 'required',
+                'aria-required': 'true',
+            }
+        ),
+    )
+    sr_contact_title = forms.CharField(
+        max_length=200,
+        required=False,
+    )
+    sr_contact_company = forms.CharField(
+        max_length=200,
+        required=False,
+    )
+    sr_contact_phone = forms.CharField(
+        max_length=50,
+        required=False,
+        widget=TelInput(),
+    )
+    sr_contact_email = forms.EmailField(
+        max_length=254,  # max length allowed for emails
+        required=True,
+        error_messages={
+            'invalid': _lazy(u'Please enter a valid email address'),
+        },
+        widget=EmailInput(
+            attrs={
+                'required': 'required',
+                'class': 'required',
+                'aria-required': 'true',
+            }
+        ),
+    )
+    sr_contact_company_url = forms.URLField(
+        max_length=2000,
+        required=False,
+        widget=forms.TextInput(
+            attrs={
+                'placeholder': _lazy(u'http://www.my-company.com'),
+            }
+        ),
+    )
+
+    # event details fields
+    sr_event_venue = forms.CharField(
+        max_length=400,
+        required=False,
+    )
+    sr_event_theme = forms.CharField(
+        max_length=200,
+        required=False,
+    )
+    sr_event_goal = forms.CharField(
+        max_length=300,
+        required=False,
+    )
+    sr_event_format = forms.CharField(
+        max_length=200,
+        required=False,
+    )
+    sr_event_audience_size = forms.IntegerField(
+        required=False,
+        widget=NumberInput(
+            attrs={
+                'min': 1,
+                'placeholder': 25,
+            }
+        ),
+    )
+    sr_event_audience_demographics = forms.CharField(
+        max_length=500,
+        required=False,
+        widget=forms.Textarea(),
+    )
+    sr_event_speakers_confirmed = forms.CharField(
+        max_length=500,
+        required=False,
+        widget=forms.Textarea(),
+    )
+    sr_event_speakers_invited = forms.CharField(
+        max_length=500,
+        required=False,
+        widget=forms.Textarea(),
+    )
+    sr_event_speakers_past = forms.CharField(
+        max_length=1000,
+        required=False,
+        widget=forms.Textarea(),
+    )
+    sr_event_media_coverage = forms.CharField(
+        max_length=500,
+        required=False,
+        widget=forms.Textarea(),
+    )
+    sr_event_sponsors = forms.CharField(
+        max_length=500,
+        required=False,
+        widget=forms.Textarea(),
+    )
+    sr_event_confirmation_deadline = forms.DateField(
+        required=False,
+        widget=DateInput(),
+    )
+
+    # presentation details fields
+    sr_presentation_type = forms.MultipleChoiceField(
+        required=False,
+        choices=(
+            ('keynote', _lazy(u'Keynote')),
+            ('presentation', _lazy(u'Presentation')),
+            ('fireside chat', _lazy(u'Fireside Chat')),
+            ('panel', _lazy(u'Panel')),
+            ('other', _lazy(u'Other')),
+        ),
+        widget=forms.CheckboxSelectMultiple(),
+    )
+    sr_presentation_panelists = forms.CharField(
+        max_length=500,
+        required=False,
+        widget=forms.Textarea(),
+    )
+    sr_presentation_topic = forms.CharField(
+        required=False,
+        max_length=255,
+    )
+    sr_presentation_length = forms.IntegerField(
+        required=False,
+        widget=NumberInput(
+            attrs={
+                'min': 0.5,
+                'step': 0.5,
+                'placeholder': 2.5,
+            }
+        )
+    )
+
+    # additional info fields
+    sr_attachment = forms.FileField(
+        required=False,
+    )
+
+    # honeypot
+    superpriority = forms.BooleanField(widget=HoneyPotWidget, required=False)
+
+    def clean_sr_attachment(self):
+        cleaned_data = super(SpeakerRequestForm, self).clean()
+        attachment = cleaned_data.get("sr_attachment")
+
+        if attachment:
+            if attachment._size > SPEAKER_REQUEST_FILE_SIZE_LIMIT:
+                raise forms.ValidationError(
+                    _("Attachment must not exceed 5MB"))
+
+        return attachment
+
+    def clean_superpriority(self):
+        cleaned_data = super(SpeakerRequestForm, self).clean()
+        honeypot = cleaned_data.pop('superpriority', None)
+
+        if honeypot:
+            raise forms.ValidationError(
+                _('Your submission could not be processed'))
diff --git a/bedrock/press/models.py b/bedrock/press/models.py
new file mode 100644
index 00000000000..6b202199939
--- /dev/null
+++ b/bedrock/press/models.py
@@ -0,0 +1 @@
+# Create your models here.
diff --git a/bedrock/press/templates/press/emails/speaker-request.txt b/bedrock/press/templates/press/emails/speaker-request.txt
new file mode 100644
index 00000000000..575537b6b53
--- /dev/null
+++ b/bedrock/press/templates/press/emails/speaker-request.txt
@@ -0,0 +1,140 @@
+A new speaker request form has been submitted with the following information:
+
++ Event Name
+{{ sr_event_name|safe|strip_tags }}
+
++ Event URL
+{{ sr_event_url }}
+
++ Date/Time
+{{ sr_event_date }} {{ sr_event_time }}
+
+{% if sr_guest_speaker1 or sr_guest_speaker2 %}
+------------------------------------
+Guest Speaker
+
+{% if sr_guest_speaker1 %}
++ Choice 1
+{{ sr_guest_speaker1|safe|strip_tags }}
+{% endif %}
+{% if sr_guest_speaker2 %}
+
++ Choice 2
+{{ sr_guest_speaker2|safe|strip_tags }}
+{% endif %}
+
+{% endif %}
+------------------------------------
+Contact Information
+
++ Name
+{{ sr_contact_name|safe|strip_tags }}
+{% if sr_contact_title %}
+
++ Title
+{{ sr_contact_title|safe|strip_tags }}
+{% endif %}
+{% if sr_contact_company %}
+
++ Company
+{{ sr_contact_company|safe|strip_tags }}
+{% endif %}
+{% if sr_contact_phone %}
+
++ Phone
+{{ sr_contact_phone }}
+{% endif %}
+
++ Email
+{{ sr_contact_email }}
+{% if sr_contact_company_url %}
+
++ URL
+{{ sr_contact_company_url }}
+{% endif %}
+
+------------------------------------
+Event Details
+
+{% if sr_event_venue %}
++ Venue
+{{ sr_event_venue|safe|strip_tags }}
+{% endif %}
+{% if sr_event_theme %}
+
++ Theme
+{{ sr_event_theme|safe|strip_tags }}
+{% endif %}
+{% if sr_event_goal %}
+
++ Goal
+{{ sr_event_goal|safe|strip_tags }}
+{% endif %}
+{% if sr_event_format %}
+
++ Format
+{{ sr_event_format|safe|strip_tags }}
+{% endif %}
+{% if sr_event_audience_size %}
+
++ Expected Audience Size
+{{ sr_event_audience_size }}
+{% endif %}
+{% if sr_event_audience_demographics %}
+
++ Audience Demographics
+{{ sr_event_audience_demographics|safe|strip_tags }}
+{% endif %}
+{% if sr_event_speakers_confirmed %}
+
++ Confirmed Speakers
+{{ sr_event_speakers_confirmed|safe|strip_tags }}
+{% endif %}
+{% if sr_event_speakers_invited %}
+
++ Invited Speakers
+{{ sr_event_speakers_invited|safe|strip_tags }}
+{% endif %}
+{% if sr_event_speakers_past %}
+
++ Past Speakers
+{{ sr_event_speakers_past|safe|strip_tags }}
+{% endif %}
+{% if sr_event_media_coverage %}
+
++ Media Coverage
+{{ sr_event_media_coverage|safe|strip_tags }}
+{% endif %}
+{% if sr_event_sponsors %}
+
++ Event Sponsors
+{{ sr_event_sponsors|safe|strip_tags }}
+{% endif %}
+{% if sr_event_confirmation_deadline %}
+
++ Confirmation Deadline
+{{ sr_event_confirmation_deadline }}
+{% endif %}
+
+------------------------------------
+Presentation Details
+
+{% if sr_presentation_type %}
++ Type of Presentation
+{{ sr_presentation_type|join(', ') }}
+{% endif %}
+{% if sr_presentation_panelists %}
+
++ Other Panelists
+{{ sr_presentation_panelists|safe|strip_tags }}
+{% endif %}
+{% if sr_presentation_topic %}
+
++ Topic of Presentation
+{{ sr_presentation_topic|safe|strip_tags }}
+{% endif %}
+{% if sr_presentation_length %}
+
++ Expected Length
+{{ sr_presentation_length }}
+{% endif %}
diff --git a/bedrock/press/templates/press/speaker-request.html b/bedrock/press/templates/press/speaker-request.html
new file mode 100644
index 00000000000..e34a8b08ce8
--- /dev/null
+++ b/bedrock/press/templates/press/speaker-request.html
@@ -0,0 +1,287 @@
+{% extends "base-resp.html" %}
+
+{% block page_title %}{{_('Speaker Request Form')}}{% endblock %}
+{% block body_id %}press_speaker_request{% endblock %}
+{% block body_class %}sand{% endblock %}
+
+{% block site_css %}
+  {{ css('press_speaker_request') }}
+{% endblock %}
+
+{% block content %}
+
+<main role="main" id="main-content">
+  <header class="main-header">
+    <h1 class="title-shadow-box">{{_('Speaker request form')}}</h1>
+  </header><!-- /header -->
+
+  <section class="container">
+  {% if not form_success %}
+    <h2 class="secondary-title">{{ _('Please complete and submit the form below to request a speaker from Mozilla for your upcoming event.') }}</h2>
+  {% endif %}
+    <div class="main-column">
+    {% if not form_success %}
+      <p class="callout">
+      {% trans url='https://bugzilla.mozilla.org/form.dev-engagement-event' %}
+        If you are hosting a developer conference or event and want someone from
+        Mozilla's developer team to speak, please fill out the
+        <a href="{{ url }}">Developer Events Request Form</a> instead.
+      {% endtrans %}
+      </p>
+
+      {% if form.errors %}
+        <div class="tooltip">
+          {{ _('An error has occurred with your submission. Please review your information and try again.') }}
+        </div>
+      {% endif %}
+
+      <form action="{{ secure_url('press.speaker-request') }}" method="post" name="speaker-request-form" id="speaker-request-form" enctype="multipart/form-data">
+        {{ csrf() }}
+
+        <fieldset>
+          <ol>
+            <li class="field required">
+              {{ form.sr_event_name.errors }}
+              <label for="sr_event_name" >{{ _('Event Name') }}</label>
+              {{ form.sr_event_name }}
+            </li>
+
+            <li class="field required">
+              {{ form.sr_event_url.errors }}
+              <label for="sr_event_url">{{ _('Event URL') }}</label>
+              {{ form.sr_event_url }}
+            </li>
+
+            <div class="fields-container">
+              <li class="field required">
+                {{ form.sr_event_date.errors }}
+                <label for="sr_event_date">{{ _('Date') }}</label>
+                {{ form.sr_event_date }}
+                <div class="field-note date-note">
+                  {{ _('2015-03-14 or March 14, 2015') }}
+                </div>
+              </li>
+
+              <li class="field required">
+                {{ form.sr_event_time.errors }}
+                <label for="sr_event_time">{{ _('Time') }}</label>
+                {{ form.sr_event_time }}
+                <div class="field-note time-note">
+                  {{ _('2:30 PM or 14:30') }}
+                </div>
+              </li>
+            </div>
+
+            <li class="field">
+              {{ form.sr_guest_speaker1.errors }}
+              <label for="sr_guest_speaker1">{{ _('Guest Speaker Choice #1') }}</label>
+              {{ form.sr_guest_speaker1 }}
+            </li>
+
+            <li class="field">
+              {{ form.sr_guest_speaker2.errors }}
+              <label for="sr_guest_speaker2">{{ _('Guest Speaker Choice #2') }}</label>
+              {{ form.sr_guest_speaker2 }}
+            </li>
+          </ol>
+        </fieldset>
+
+        <fieldset>
+          <legend>{{ _('Contact Information') }}</legend>
+
+          <ol>
+            <li class="field required">
+              {{ form.sr_contact_name.errors }}
+              <label for="sr_contact_name">{{ _('Name') }}</label>
+              {{ form.sr_contact_name }}
+            </li>
+
+            <li class="field">
+              {{ form.sr_contact_title.errors }}
+              <label for="sr_contact_title">{{ _('Title') }}</label>
+              {{ form.sr_contact_title }}
+            </li>
+
+            <li class="field">
+              {{ form.sr_contact_company.errors }}
+              <label for="sr_contact_company">{{ _('Company') }}</label>
+              {{ form.sr_contact_company }}
+            </li>
+
+            <li class="field">
+              {{ form.sr_contact_phone.errors }}
+              <label for="sr_contact_phone">{{ _('Phone') }}</label>
+              {{ form.sr_contact_phone }}
+            </li>
+
+            <li class="field required">
+              {{ form.sr_contact_email.errors }}
+              <label for="sr_contact_email">{{ _('Email') }}</label>
+              {{ form.sr_contact_email }}
+            </li>
+
+            <li class="field">
+              {{ form.sr_contact_company_url.errors }}
+              <label for="sr_contact_company_url">{{ _('Company URL') }}</label>
+              {{ form.sr_contact_company_url }}
+            </li>
+          </ol>
+        </fieldset>
+
+        <fieldset>
+          <legend>{{ _('Event Details') }}</legend>
+
+          <ol>
+            <li class="field">
+              {{ form.sr_event_venue.errors }}
+              <label for="sr_event_venue">{{ _('Venue') }}</label>
+              {{ form.sr_event_venue }}
+            </li>
+
+            <li class="field">
+              {{ form.sr_event_theme.errors }}
+              <label for="sr_event_theme">{{ _('Theme') }}</label>
+              {{ form.sr_event_theme }}
+            </li>
+
+            <li class="field">
+              {{ form.sr_event_goal.errors }}
+              <label for="sr_event_goal">{{ _('Goal') }}</label>
+              {{ form.sr_event_goal }}
+            </li>
+
+            <li class="field">
+              {{ form.sr_event_format.errors }}
+              <label for="sr_event_format">{{ _('Format') }}</label>
+              {{ form.sr_event_format }}
+            </li>
+
+            <li class="field">
+              {{ form.sr_event_audience_size.errors }}
+              <label for="sr_event_audience_size">{{ _('Expected Audience Size') }}</label>
+              {{ form.sr_event_audience_size }}
+            </li>
+
+            <li class="field">
+              {{ form.sr_event_audience_demographics.errors }}
+              <label for="sr_event_audience_demographics">{{ _('Audience Demographics') }}</label>
+              {{ form.sr_event_audience_demographics }}
+            </li>
+
+            <li class="field">
+              {{ form.sr_event_speakers_confirmed.errors }}
+              <label for="sr_event_speakers_confirmed">{{ _('Confirmed Speakers') }}</label>
+              {{ form.sr_event_speakers_confirmed }}
+            </li>
+
+            <li class="field">
+              {{ form.sr_event_speakers_invited.errors }}
+              <label for="sr_event_speakers_invited">{{ _('Invited Speakers') }}</label>
+              {{ form.sr_event_speakers_invited }}
+            </li>
+
+            <li class="field">
+              {{ form.sr_event_speakers_past.errors }}
+              <label for="sr_event_speakers_past">{{ _('Past Speakers') }}</label>
+              {{ form.sr_event_speakers_past }}
+            </li>
+
+            <li class="field">
+              {{ form.sr_event_media_coverage.errors }}
+              <label for="sr_event_media_coverage">{{ _('Media Coverage') }}</label>
+              {{ form.sr_event_media_coverage }}
+            </li>
+
+            <li class="field">
+              {{ form.sr_event_sponsors.errors }}
+              <label for="sr_event_sponsors">{{ _('Event Sponsors') }}</label>
+              {{ form.sr_event_sponsors }}
+            </li>
+
+            <li class="field">
+              {{ form.sr_event_confirmation_deadline.errors }}
+              <label for="sr_event_confirmation_deadline">{{ _('Confirmation Deadline') }}</label>
+              {{ form.sr_event_confirmation_deadline }}
+              <div class="field-note date-note">
+                {{ _('2015-03-14 or March 14, 2015') }}
+              </div>
+            </li>
+          </ol>
+        </fieldset>
+
+        <fieldset>
+          <legend>{{ _('Presentation Details') }}</legend>
+
+          <ol>
+            <li class="field">
+              <label>{{ _('Type of Presentation') }}</label>
+              {{ form.sr_presentation_type }}
+            </li>
+
+            <li class="field">
+              {{ form.sr_presentation_topic.errors }}
+              <label for="sr_presentation_topic">{{ _('Topic of Presentation') }}</label>
+              {{ form.sr_presentation_topic }}
+            </li>
+
+            <li class="field">
+              {{ form.sr_presentation_length.errors }}
+              <label for="sr_presentation_length">{{ _('Expected Length') }}</label>
+              {{ form.sr_presentation_length }}
+              <div class="field-note">
+                ({{ _('in hours, e.g. 2.5') }})
+              </div>
+            </li>
+          </ol>
+        </fieldset>
+
+        <fieldset>
+          <legend>{{ _('Additional Information') }}</legend>
+
+          <div class="field" id="sr_attachment">
+            {{ form.sr_attachment.errors }}
+            <label for="sr_attachment">{{ _('PDF Attachment') }}</label>
+            {{ form.sr_attachment }}
+            <div class="field-note">
+              {{ _('Agenda, media list, etc.') }}
+              {{ _('Maximum file size is 5 MB.') }}
+            </div>
+          </div>
+        </fieldset>
+
+        <button type="submit" name="submit_form" class="button">{{ _('Submit') }}</button>
+
+        {{ form.superpriority }}
+      </form>
+    {% else %}
+      <h2>{{ _('Your request has been sent.') }}</h2>
+
+      <p>{{ _('Thank you for your interest.') }}</p>
+    {% endif %}
+    </div><!--/.main-column-->
+
+    <aside class="sidebar">
+      {#
+        This list should likely be factored out to an include when all press pages
+        have been ported to bedrock.
+      #}
+      <h2>{{ _('Resources') }}</h2>
+      <ul>
+        <li><a href="{{ php_url('/press/ataglance') }}">{{ _('Mozilla at a Glance') }}</a></li>
+        <li><a href="{{ php_url('/press/media') }}">{{ _('Media Library') }}</a></li>
+        <li><a href="{{ php_url('/press/awards') }}">{{ _('Awards') }}</a></li>
+        <li><a href="{{ php_url('/press/kits') }}">{{ _('Firefox Press Kits') }}</a></li>
+        <li><a href="{{ php_url('/press/bios') }}">{{ _('Speaker Bios') }}</a></li>
+        <li><a href="{{ url('press.speaker-request') }}">{{ _('Speaker Request Form') }}</a></li>
+      </ul>
+    </aside>
+  </section><!--/.container-->
+</main>
+
+{% endblock %}
+
+{% block email_form %}{% endblock %}
+
+{% block js %}
+  {{ js('press_speaker_request') }}
+{% endblock  %}
diff --git a/bedrock/press/tests.py b/bedrock/press/tests.py
new file mode 100644
index 00000000000..a04c6ce037e
--- /dev/null
+++ b/bedrock/press/tests.py
@@ -0,0 +1,265 @@
+# -*- coding: utf8 -*-
+# This Source Code Form is subject to the terms of the Mozilla Public
+# License, v. 2.0. If a copy of the MPL was not distributed with this
+# file, You can obtain one at http://mozilla.org/MPL/2.0/.
+
+import datetime
+
+from django.core import mail
+from django.test.client import RequestFactory
+
+from funfactory.urlresolvers import reverse
+from mock import Mock, patch
+from nose.tools import eq_, ok_
+
+from bedrock.press import forms as press_forms, views as press_views
+from bedrock.press.forms import SpeakerRequestForm
+from bedrock.mozorg.tests import TestCase
+
+
+class TestSpeakerRequest(TestCase):
+    def setUp(self):
+        self.factory = RequestFactory()
+        self.view = press_views.SpeakerRequestView.as_view()
+        with self.activate('en-US'):
+            self.url = reverse('press.speaker-request')
+
+        self.data = {
+            'sr_event_name': 'Test Event',
+            'sr_event_url': 'www.mozilla.org',
+            'sr_event_date': datetime.date.today() + datetime.timedelta(days=1),
+            'sr_event_time': '12:00 PM',
+            'sr_contact_name': 'The Dude',
+            'sr_contact_email': 'foo@bar.com',
+        }
+
+    def tearDown(self):
+        mail.outbox = []
+
+    def test_view_post_valid_data(self):
+        """
+        A valid POST should 302 redirect.
+        """
+        request = self.factory.post(self.url, self.data)
+
+        # make sure CSRF doesn't hold us up
+        request._dont_enforce_csrf_checks = True
+
+        response = self.view(request)
+
+        eq_(response.status_code, 302)
+        eq_(response['Location'], '/en-US/press/speakerrequest/?success=True')
+
+    def test_view_post_missing_data(self):
+        """
+        POST with missing data should return 200 and contain form
+        errors in the template.
+        """
+
+        self.data.update(sr_event_url='')  # remove required url
+
+        request = self.factory.post(self.url, self.data)
+
+        # make sure CSRF doesn't hold us up
+        request._dont_enforce_csrf_checks = True
+
+        response = self.view(request)
+
+        eq_(response.status_code, 200)
+        self.assertIn('Please enter a URL', response.content)
+
+    def test_view_post_honeypot(self):
+        """
+        POST with honeypot checkbox checked should return 200 and
+        contain general form error message.
+        """
+
+        self.data['superpriority'] = True
+
+        request = self.factory.post(self.url, self.data)
+
+        # make sure CSRF doesn't hold us up
+        request._dont_enforce_csrf_checks = True
+
+        response = self.view(request)
+
+        eq_(response.status_code, 200)
+        self.assertIn('An error has occurred', response.content)
+
+    def test_form_valid_data(self):
+        """
+        Form should be valid.
+        """
+        form = SpeakerRequestForm(self.data)
+
+        # make sure form is valid
+        ok_(form.is_valid())
+
+    def test_form_missing_data(self):
+        """
+        With incorrect data (missing url), form should not be valid and should
+        have url in the errors hash.
+        """
+        self.data.update(sr_event_url='')  # remove required url
+
+        form = SpeakerRequestForm(self.data)
+
+        # make sure form is invalid
+        ok_(not form.is_valid())
+
+        # make sure url errors are in form
+        self.assertIn('sr_event_url', form.errors)
+
+    def test_form_honeypot(self):
+        """
+        Form with honeypot checkbox checked should not be valid.
+        """
+        self.data['superpriority'] = True
+
+        form = SpeakerRequestForm(self.data)
+
+        eq_(False, form.is_valid())
+
+    def test_form_valid_attachement(self):
+        """
+        Form should be valid when attachment under/at size limit.
+        """
+        # attachment within size limit
+        mock_attachment = Mock(_size=press_forms.SPEAKER_REQUEST_FILE_SIZE_LIMIT)
+
+        form = SpeakerRequestForm(self.data, {'sr_attachment': mock_attachment})
+
+        # make sure form is valid
+        ok_(form.is_valid())
+
+    def test_form_invalid_attachement(self):
+        """
+        Form should be invalid and contain attachment errors when attachment
+        over size limit.
+        """
+        # attachment within size limit
+        mock_attachment = Mock(
+            _size=(press_forms.SPEAKER_REQUEST_FILE_SIZE_LIMIT + 1))
+
+        form = SpeakerRequestForm(self.data, {'sr_attachment': mock_attachment})
+
+        # make sure form is not valid
+        ok_(not form.is_valid())
+
+        # make sure attachment errors are in form
+        self.assertIn('sr_attachment', form.errors)
+
+    @patch('bedrock.press.views.jingo.render_to_string', return_value='jingo rendered')
+    @patch('bedrock.press.views.EmailMessage')
+    def test_email(self, mock_email_message, mock_render_to_string):
+        """
+        Make sure email is sent with expected values.
+        """
+        mock_send = mock_email_message.return_value.send
+
+        # create POST request
+        request = self.factory.post(self.url, self.data)
+
+        # make sure CSRF doesn't hold us up
+        request._dont_enforce_csrf_checks = True
+
+        # submit POST request
+        self.view(request)
+
+        # make sure email was sent
+        mock_send.assert_called_once_with()
+
+        # make sure email values are correct
+        mock_email_message.assert_called_once_with(
+            press_views.SPEAKER_REQUEST_EMAIL_SUBJECT,
+            'jingo rendered',
+            press_views.SPEAKER_REQUEST_EMAIL_FROM,
+            press_views.SPEAKER_REQUEST_EMAIL_TO)
+
+    @patch('bedrock.press.views.jingo.render_to_string', return_value='jingo rendered')
+    @patch('bedrock.press.views.EmailMessage')
+    def test_email_with_attachement(self, mock_email_message, mock_render_to_string):
+        """
+        Make sure email is sent with attachment.
+        """
+        mock_attachment = Mock(
+            content_type='text/plain',
+            _size=(press_forms.SPEAKER_REQUEST_FILE_SIZE_LIMIT))
+
+        # make sure name attribute is treated as string
+        mock_attachment.name = 'img.jpg'
+
+        #form = SpeakerRequestForm(self.data, {'sr_attachment': mock_attachment})
+        #self.data['sr_attachment'] = mock_attachment
+
+        # create POST request
+        request = self.factory.post(self.url, self.data)
+
+        # make sure CSRF doesn't hold us up
+        request._dont_enforce_csrf_checks = True
+
+        # add mock attachment to files dict
+        request.FILES['sr_attachment'] = mock_attachment
+
+        # submit POST request
+        self.view(request)
+
+        # make sure attachment was attached
+        mock_email_message.return_value.attach.assert_called_once_with(
+            'img.jpg',
+            mock_attachment.read.return_value,
+            'text/plain')
+
+        mock_attachment.read.assert_called_once_with()
+
+        # make sure email was sent
+        mock_email_message.return_value.send.assert_called_once_with()
+
+        # make sure email values are correct
+        mock_email_message.assert_called_once_with(
+            press_views.SPEAKER_REQUEST_EMAIL_SUBJECT,
+            'jingo rendered',
+            press_views.SPEAKER_REQUEST_EMAIL_FROM,
+            press_views.SPEAKER_REQUEST_EMAIL_TO)
+
+    def test_emails_not_escaped(self):
+        """
+        Strings in the fraud report form should not be HTML escaped
+        when inserted into the email, which is just text.
+
+        E.g. if they entered
+
+            J'adore le ''Renard de feu''
+
+        the email should not contain
+
+            J&#39;adore le &#39;&#39;Renard de feu&#39;&#39;
+
+        Tags are still stripped, though.
+        """
+
+        STRING1 = u"J'adore Citröns & <Piñatas> so there"
+        EXPECTED1 = u"J'adore Citröns &  so there"
+
+        STRING2 = u"J'adore Piñatas & <fromage> so here"
+        EXPECTED2 = u"J'adore Piñatas &  so here"
+
+        STRING3 = u"J'adore <coffee>el café</coffee> también"
+        EXPECTED3 = u"J'adore el café también"
+
+        self.data.update(sr_contact_title=STRING1, sr_event_theme=STRING2,
+                         sr_event_format=STRING3)
+        request = self.factory.post(self.url, self.data)
+
+        # make sure CSRF doesn't hold us up
+        request._dont_enforce_csrf_checks = True
+
+        self.view(request)
+
+        eq_(len(mail.outbox), 1)
+
+        m = mail.outbox[0]
+
+        self.assertIn(EXPECTED1, m.body)
+        self.assertIn(EXPECTED2, m.body)
+        self.assertIn(EXPECTED3, m.body)
diff --git a/bedrock/press/urls.py b/bedrock/press/urls.py
new file mode 100644
index 00000000000..600e477e866
--- /dev/null
+++ b/bedrock/press/urls.py
@@ -0,0 +1,11 @@
+# This Source Code Form is subject to the terms of the Mozilla Public
+# License, v. 2.0. If a copy of the MPL was not distributed with this
+# file, You can obtain one at http://mozilla.org/MPL/2.0/.
+
+from django.conf.urls import patterns, url
+
+from . import views
+
+urlpatterns = patterns('',
+    url('^speakerrequest/$', views.SpeakerRequestView.as_view(), name='press.speaker-request'),
+)
diff --git a/bedrock/press/views.py b/bedrock/press/views.py
new file mode 100644
index 00000000000..5d8d38a0a2e
--- /dev/null
+++ b/bedrock/press/views.py
@@ -0,0 +1,66 @@
+# This Source Code Form is subject to the terms of the Mozilla Public
+# License, v. 2.0. If a copy of the MPL was not distributed with this
+# file, You can obtain one at http://mozilla.org/MPL/2.0/.
+
+import jingo
+
+from django.core.mail import EmailMessage
+from django.utils.decorators import method_decorator
+from django.views.decorators.csrf import csrf_protect
+from django.views.generic.edit import FormView
+
+from funfactory.urlresolvers import reverse
+
+from .forms import SpeakerRequestForm
+from lib import l10n_utils
+
+SPEAKER_REQUEST_EMAIL_FROM = 'Mozilla.com <noreply@mozilla.com>'
+SPEAKER_REQUEST_EMAIL_SUBJECT = 'New speaker request form submission'
+SPEAKER_REQUEST_EMAIL_TO = ['events@mozilla.com']
+
+
+class SpeakerRequestView(FormView):
+    form_class = SpeakerRequestForm
+    template_name = 'press/speaker-request.html'
+
+    @method_decorator(csrf_protect)
+    def dispatch(self, request, *args, **kwargs):
+        return super(SpeakerRequestView, self).dispatch(request, *args, **kwargs)
+
+    def get_form_kwargs(self):
+        kwargs = super(SpeakerRequestView, self).get_form_kwargs()
+        kwargs['auto_id'] = '%s'
+        return kwargs
+
+    def get_context_data(self, **kwargs):
+        context = super(SpeakerRequestView, self).get_context_data(**kwargs)
+        context['form_success'] = 'success' in self.request.GET
+        return context
+
+    def get_success_url(self):
+        return reverse('press.speaker-request') + '?success=True'
+
+    def form_valid(self, form):
+        self.send_email(form)
+        return super(SpeakerRequestView, self).form_valid(form)
+
+    def send_email(self, form):
+        subject = SPEAKER_REQUEST_EMAIL_SUBJECT
+        sender = SPEAKER_REQUEST_EMAIL_FROM
+        to = SPEAKER_REQUEST_EMAIL_TO
+        msg = jingo.render_to_string(self.request, 'press/emails/speaker-request.txt', form.cleaned_data)
+
+        email = EmailMessage(subject, msg, sender, to)
+
+        attachment = form.cleaned_data['sr_attachment']
+
+        if (attachment):
+            email.attach(attachment.name, attachment.read(), attachment.content_type)
+
+        email.send()
+
+    def render_to_response(self, context, **response_kwargs):
+        return l10n_utils.render(self.request,
+                                 self.get_template_names(),
+                                 context,
+                                 **response_kwargs)
diff --git a/bedrock/settings/base.py b/bedrock/settings/base.py
index eed70b51516..e45142e76d0 100644
--- a/bedrock/settings/base.py
+++ b/bedrock/settings/base.py
@@ -324,6 +324,9 @@ def JINJA_CONFIG():
             'css/plugincheck/plugincheck.less',
             'css/plugincheck/qtip.css',
         ),
+        'press_speaker_request': (
+            'css/press/speaker-request.less',
+        ),
         'privacy': (
             'css/privacy/privacy.less',
         ),
@@ -606,6 +609,12 @@ def JINJA_CONFIG():
             'js/plugincheck/tmpl/plugincheck.ui.tmpl.js',
             'js/plugincheck/check-plugins.js',
         ),
+        'press_speaker_request': (
+            'js/libs/jquery.validate.js',
+            'js/libs/modernizr.custom.inputtypes.js',
+            'js/press/speaker-request.js',
+            'js/base/mozilla-input-placeholder.js',
+        ),
         'privacy': (
             'js/base/mozilla-pager.js',
             'js/privacy/privacy.js',
@@ -754,6 +763,7 @@ def JINJA_CONFIG():
     '%s.mozorg' % PROJECT_MODULE,
     '%s.newsletter' % PROJECT_MODULE,
     '%s.persona' % PROJECT_MODULE,
+    '%s.press' % PROJECT_MODULE,
     '%s.privacy' % PROJECT_MODULE,
     '%s.redirects' % PROJECT_MODULE,
     '%s.research' % PROJECT_MODULE,
diff --git a/bedrock/urls.py b/bedrock/urls.py
index 2ee841825af..ca6d8bdd7ce 100644
--- a/bedrock/urls.py
+++ b/bedrock/urls.py
@@ -24,6 +24,7 @@
     (r'^grants/', include('bedrock.grants.urls')),
     (r'^legal/', include('bedrock.legal.urls')),
     (r'^persona/', include('bedrock.persona.urls')),
+    (r'^press/', include('bedrock.press.urls')),
     (r'^privacy', include('bedrock.privacy.urls')),
     (r'^styleguide/', include('bedrock.styleguide.urls')),
     (r'^tabzilla/', include('bedrock.tabzilla.urls')),
diff --git a/etc/httpd/global.conf b/etc/httpd/global.conf
index 4c88c7eccd6..57db9136869 100644
--- a/etc/httpd/global.conf
+++ b/etc/httpd/global.conf
@@ -656,3 +656,5 @@ RewriteRule ^/(\w{2,3}(?:-\w{2})?/)?firefox/latest/releasenotes(/?)$ /b/$1firefo
 # bug 962307
 RewriteRule ^/(\w{2,3}(?:-\w{2})?/)?gigabit(.*)$ /b/$1gigabit$2 [PT]
 
+# bug 940555
+RewriteRule ^/(\w{2,3}(?:-\w{2})?/)?press/speakerrequest(/?)$ /b/$1press/speakerrequest$2 [PT]
diff --git a/media/css/press/speaker-request.less b/media/css/press/speaker-request.less
new file mode 100644
index 00000000000..f7b030ee60e
--- /dev/null
+++ b/media/css/press/speaker-request.less
@@ -0,0 +1,138 @@
+// This Source Code Form is subject to the terms of the Mozilla Public
+// License, v. 2.0. If a copy of the MPL was not distributed with this
+// file, You can obtain one at http://mozilla.org/MPL/2.0/.
+
+@import "../sandstone/sandstone-resp.less";
+
+#main-content {
+    .callout-content;
+    margin-top: 100px;
+}
+
+.main-header {
+    .clearfix;
+}
+
+.secondary-title {
+    margin-bottom: @baseLine * 2;
+}
+
+.main-column {
+    margin: 0;
+}
+
+.sidebar {
+    width: 250px;
+    margin-left: 100px;
+}
+
+.container {
+    width: auto;
+}
+
+.callout {
+    background: #e4f3ff;
+    padding: 12px @baseLine;
+    .border-radius(4px);
+    box-shadow: inset 0 0 2px rgba(0,0,0,0.2);
+}
+
+fieldset {
+    margin-bottom: @baseLine * 2;
+    li {
+        list-style-type: none;
+        margin-left: 0;
+    }
+}
+
+.field {
+    input[type=text],
+    input[type=email],
+    input[type=tel],
+    input[type=url],
+    textarea {
+        width: 400px;
+    }
+    textarea {
+        height: 80px;
+    }
+    ul {
+        list-style-type: none;
+        li {
+            margin-left: 0;
+        }
+    }
+}
+
+.fields-container {
+    .clearfix;
+    .field {
+        float: left;
+        width: 210px;
+        margin-right: @baseLine;
+        input[type=text] {
+            width: auto;
+        }
+    }
+}
+
+#speaker-request-form {
+    margin-top: @baseLine;
+
+    label.error {
+        .visually-hidden;
+    }
+
+    textarea {
+        height: 50px;
+    }
+}
+
+@media only screen and (max-width: @breakDesktop) {
+    .main-column {
+        float: none;
+        width: auto;
+    }
+
+    .sidebar {
+        float: none;
+        width: auto;
+        margin: (@baseLine * 2) 0 0;
+    }
+}
+
+@media only screen and (max-width: @breakTablet) {
+    #main-content {
+        margin-top: @baseLine * 2;
+    }
+
+    .secondary-title {
+        margin: -(@baseLine * 1.5) 0 (@baseLine * 1.5);
+    }
+
+    .sidebar {
+        width: 240px;
+    }
+
+    .field {
+        input[type=text],
+        input[type=email],
+        input[type=tel],
+        input[type=url],
+        textarea {
+            width: 300px;
+        }
+    }
+}
+
+@media only screen and (max-width: @breakMobileLandscape) {
+    .field {
+        input[type=text],
+        input[type=email],
+        input[type=tel],
+        input[type=url],
+        textarea {
+            width: 200px;
+        }
+    }
+}
diff --git a/media/css/sandstone/sandstone-resp.less b/media/css/sandstone/sandstone-resp.less
index 31fb0bbf189..60b8c0b7a29 100644
--- a/media/css/sandstone/sandstone-resp.less
+++ b/media/css/sandstone/sandstone-resp.less
@@ -280,7 +280,10 @@ input[type=url],
 input[type=tel],
 input[type=password],
 input[type=search],
-input[type=text] {
+input[type=text],
+input[type=number],
+input[type=date],
+input[type=time] {
     background: #fff;
     border-color: #b2b2b2;
     border-style: solid;
diff --git a/media/js/libs/modernizr.custom.inputtypes.js b/media/js/libs/modernizr.custom.inputtypes.js
new file mode 100644
index 00000000000..a7f0fa110d5
--- /dev/null
+++ b/media/js/libs/modernizr.custom.inputtypes.js
@@ -0,0 +1,4 @@
+/* Modernizr 2.7.1 (Custom Build) | MIT & BSD
+ * Build: http://modernizr.com/download/#-inputtypes
+ */
+;window.Modernizr=function(a,b,c){function u(a){i.cssText=a}function v(a,b){return u(prefixes.join(a+";")+(b||""))}function w(a,b){return typeof a===b}function x(a,b){return!!~(""+a).indexOf(b)}function y(a,b,d){for(var e in a){var f=b[a[e]];if(f!==c)return d===!1?a[e]:w(f,"function")?f.bind(d||b):f}return!1}function z(){e.inputtypes=function(a){for(var d=0,e,g,h,i=a.length;d<i;d++)j.setAttribute("type",g=a[d]),e=j.type!=="text",e&&(j.value=k,j.style.cssText="position:absolute;visibility:hidden;",/^range$/.test(g)&&j.style.WebkitAppearance!==c?(f.appendChild(j),h=b.defaultView,e=h.getComputedStyle&&h.getComputedStyle(j,null).WebkitAppearance!=="textfield"&&j.offsetHeight!==0,f.removeChild(j)):/^(search|tel)$/.test(g)||(/^(url|email)$/.test(g)?e=j.checkValidity&&j.checkValidity()===!1:e=j.value!=k)),n[a[d]]=!!e;return n}("search tel url email datetime date month week time datetime-local number range color".split(" "))}var d="2.7.1",e={},f=b.documentElement,g="modernizr",h=b.createElement(g),i=h.style,j=b.createElement("input"),k=":)",l={}.toString,m={},n={},o={},p=[],q=p.slice,r,s={}.hasOwnProperty,t;!w(s,"undefined")&&!w(s.call,"undefined")?t=function(a,b){return s.call(a,b)}:t=function(a,b){return b in a&&w(a.constructor.prototype[b],"undefined")},Function.prototype.bind||(Function.prototype.bind=function(b){var c=this;if(typeof c!="function")throw new TypeError;var d=q.call(arguments,1),e=function(){if(this instanceof e){var a=function(){};a.prototype=c.prototype;var f=new a,g=c.apply(f,d.concat(q.call(arguments)));return Object(g)===g?g:f}return c.apply(b,d.concat(q.call(arguments)))};return e});for(var A in m)t(m,A)&&(r=A.toLowerCase(),e[r]=m[A](),p.push((e[r]?"":"no-")+r));return e.input||z(),e.addTest=function(a,b){if(typeof a=="object")for(var d in a)t(a,d)&&e.addTest(d,a[d]);else{a=a.toLowerCase();if(e[a]!==c)return e;b=typeof b=="function"?b():b,typeof enableClasses!="undefined"&&enableClasses&&(f.className+=" "+(b?"":"no-")+a),e[a]=b}return e},u(""),h=j=null,e._version=d,e}(this,this.document);
diff --git a/media/js/press/speaker-request.js b/media/js/press/speaker-request.js
new file mode 100644
index 00000000000..233843dff29
--- /dev/null
+++ b/media/js/press/speaker-request.js
@@ -0,0 +1,19 @@
+/* This Source Code Form is subject to the terms of the Mozilla Public
+ * License, v. 2.0. If a copy of the MPL was not distributed with this
+ * file, You can obtain one at http://mozilla.org/MPL/2.0/. */
+
+(function($, Modernizr) {
+    'use strict';
+
+    $(document).ready(function(){
+        $('#speaker-request-form').validate();
+
+        if (Modernizr.inputtypes.date) {
+            $('.date-note').hide();
+        }
+
+        if (Modernizr.inputtypes.time) {
+            $('.time-note').hide();
+        }
+    });
+})(window.jQuery, window.Modernizr);