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Speaker Request 
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Name & Event
Date of Event
Location- I am only doing in person events right now  *
Your Email and Phone Number *
Social Media  *
Tell me a little about your event. Who is it for?  *
Estimated Audience Size  *
Length of Talk *
Compensation Rate/Budget including if travel is covered *
The most important, How does your event align with the values of Embodied Revolution, an empowering brand for high-achieving women to activate their highest embodiment &  create a life of overflow?  *
Anything else to know about your event. If there are any other special features or signature points that you'd like to mention, place them here. 
You understand that this is a request to speak at your event and not a confirmation.  *
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