Performance/Speech Request Form
Thank you for requesting performance/speech to andu amet.
Please fill in the items below.
1.Company or Organization *
2.Contact Name *
3.Phone Number *
Please enter a number you can be contacted even the day of event.
4.E-mail *
5.Event Name *
6.Date of event *
MM
/
DD
/
YYYY
7.Starting time of the event *
Time
:
8.Ending time of the event *
Time
:
9.Binding hour of Speaker *
10.Event location *
Site name and address
11.Event theme *
12.Audience composition *
Expected size, male-female ratio,age demographic, interest of audience
13.Facilities *
14.Performance/Speech fee *
Please write specific performance/Speech fee, travel cost etc,.
15.Preparation meeting
If preparation meeting needed, please write a preferred date
Submit
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