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People for Education - Speaker Booking
Name of Speaker being requested: *
Date of the event: *
MM
/
DD
/
YYYY
Time of event: *
What time is the speaker scheduled to speak?
Time
:
Topic: *
What will the speaker be talking about? Please elaborate.
Fee: *
Food, travel and accommodation (if applicable) are charged on top of the fee and will be included on the invoice.
Format:
(keynote/panel/workshop/etc.)
Other participants:
(if panel or workshop)
Length of speech/panel/workshop: *
Please describe the length of time the speaker will be speaking
Other participants:
(if panel or workshop)
Audience size:
Approximate number of people attending
Event location: *
Complete address
Host: *
Name of group or organization hiring the People for Education speaker.
Contact Name: *
Contact email address: *
Contact phone number:
Contact phone number on day of event: *
Travel arranged by:
Clear selection
Accommodation organized by: *
Accommodation address (if applicable)
Billing Name (If different than contact name):
Billing address (email or mailing address):
Filming and/or recording:
Clear selection
Additional notes:
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