Speaker Request Questionnaire
Presentations that Inspire, Educate, Motivate, and Empower...

Using lively presentations Tamiko ties in her personal experience and education to provide her audience with the necessary components that encompass her vision of healing, success, motivation, and empowerment.
Name of Company or Event *
Organization Type *
Contact Name *
Email *
Phone *
Speaking Topic *
Date and Time of Event *
Event Location (city, state, and hotel/venue) *
Length of Presentation Time *
Anticipated Audience Size *
Describe the audience. What do they do? What are their challenges? What do they want to learn/take away from this session? *
What is your speaker budget? *
Is travel included? *
Would you like for Tamiko to do a book signing at the event? If yes, would you like to pre-order books? *
Additional information you'd like us to know?
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