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Speaker Inquiry
Thanks for expressing an interest in having me speak at your event. I appreciate the opportunity to share my message with you and your audience. In an effort to evaluate our ability to work together, I'd ask you to take a few moments to complete the questionnaire below.
Email address *
First Name *
Last Name *
Phone *
Organization Type *
What is the name of your conference or event? *
What is the date of your conference or event? *
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How long has this conference or event existed? *
How many people do you anticipate will attend your conference or event? *
Select the type of presentation you want delivered *
Does your conference or event have a website with more information? *
What are your budget parameters for having me speak at your conference or event? *
Required
Estimated Attendance *
Will The Event Be Open To The Public *
Will Tickets Be Sold For This Event? *
Do You Intend To Record Or Live Stream This Event? *
Do you cover travel and standard per diem expenses? *
Are you the decision maker responsible for hiring speakers? *
Please provide the decision maker's name and contact information *
Select the presentation(s) that you are interested in having delivered. (See full descriptions on the second page) *
Required
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