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Dr. Siobahn Day Grady Speaker Engagement Form
Thank you for your inquiry in having Dr. Siobahn Day Grady speak at your event. Fill out the following form and someone will follow up with you in 48 hours.
Email address *
Contact Person Name *
Your answer
Contact Person Phone Number *
Your answer
Contact Person E-mail Address *
Your answer
Organization *
Your answer
Organization Website *
Your answer
Event Name *
Your answer
Event Description *
Your answer
Event Date *
MM
/
DD
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YYYY
Event Start Time *
Time
:
Expected Talk Length *
Will I be speaking for 15mins, 30 mins, an hour?
Event Venue Location *
Please include city and state if this is outside of the Triangle (Raleigh, Durham, Chapel Hill), North Carolina.
Your answer
If you are outside of North Carolina, will your organization cover travel and lodging expenses? *
Speaker Budget *
Your answer
What type of talk? *
Will the event be professionally recorded? *
Will the event be professionally photographed? *
Additional Details
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