Speaker Request: Amanda A. Ebokosia
Company Information
Company/ Organization Name:
Phone Number:
Address:
E-mail:
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Personal Information:
Invitee's [First Name, Last Name]: *
Phone Number: *
Address: *
Service Requested:
Type: *
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Theme: *
Do you have a topic request (custom) or see what's most frequently done here :( http://bit.ly/1nn5xtg ).
About Event: *
What is the purpose of your event? Please give us details about your event.
Age Group: *
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Date & time of service requested:
Provide date and time of program. Include the time that speaker is also needed to fulfill work.
Event Venue Address Information: *
Travel & Accomdations: Please Explain. *
Please Note: Unless otherwise noted, speaker is expected to lodge in a single hotel room by herself. Hotel room must be booked and paid for in advance at least 48 hours to event date. Speaker should be listed as the sole person in booked room, unless otherwise noted. If it was agreed that speaker could have an assistant, speaker can share a room—only if there are two separate beds. All trips associated with event, including all travels, is the responsibility of the requester or event host and not that of the speaker. Accommodations may include round-trip commutes: From airport to hotel and hotel to event venue. If event is out-of-state from speaker’s residential location, a round-trip air ticket must be paid in full at least 48 hours to event. The ticket holder’s name should read: Amanda Ebokosia.
Demographic Information:
Confirmation of Authorization: *
Please check below, if you're the contact person associated with this event. Please note: Based on the provided information above, you'll receive a quote on Amanda Ebokosia’s speaking fee. If you were already given a quote, you'll receive a drafted contract based from this information. If there are any missing informations, you’ll be contacted to ensure an accurate contract. The speaker’s fee does not include travel & accommodations or other transaction fees associated with this event (ie. Taxes, online transaction fees).
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