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Speaking Engagement Request
Please submit this form if you would like to schedule Melissa for an event or meeting.
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Email *
Your Name: *
Your Email: *
Your Phone Number: *
Affiliated Organization (if applicable):
Date of the event (if already confirmed):
How did you hear about Melissa? *
What type of event is this? *
Tell us a little bit about the event. Include key details such as the topic or theme, audience demographic, estimated number of attendees, and what you expect Melissa's role would be. *
Do you offer an honorarium? *
Thank you for your interest! Please allow 5-7 business days for a response via your email. God bless you!  
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