Bernadine Speaking Engagement Form
This is a request form to have Bernadine speak at your next event. Please presume travel + lodging expenses with your speaking budget.
E-mail Address: *
Name (first and last): *
Organization: *
Website: *
Date of Event: *
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Time of Event: *
Time
:
Location of Event: *
Expected Number of Attendees: *
Type of Speaking Engagement(s): *
Required
Length of Speaking Engagement: *
Speaking Topic(s): *
Speaker Budget: *
Room Type: *
Required
Additional Information: *
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