BOOKING REQUEST FORM
This form is for in-person bookings only. Please be advised that due to the extreme demands on Mr. Laidler's schedule, he is unable to accept any pro-bono or significantly discounted opportunities at this time. Thank you for your consideration, and we look forward to contributing to your event! 
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Email *
Name *
Email *
When is the date of your event? *
MM
/
DD
/
YYYY
Is your date flexible? *
Which service are you interested in? *
Phone *
Company *
Company Website *
Name of Venue *
Venue Address *
Venue City *
Venue State *
Venue Zip *
Mailing Address *
Details and Purpose of the Event *
Speaking Budget [MUST input a dollar amount] *
Event Time *
Time
:
Estimated Attendee Numbers *
Event Attendee Demographics *
Will This Event Be Open To The Public? *
Will Tickets Be Sold For This Event? *
Do You Intend To Record Or Live Stream This Event? *
Can Products Be Sold At This Event? *
Based on the list above which services would you like to secure? *
If Michael is not available are you open to reviewing alternative speakers that are recommended? *
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