Pre-Event Questionnaire for Kelly D. Parker
Interested in having Kelly D. Parker speak to your organization, college, church or event? With more than 15 years of speaking experience, Kelly knows how to engage an audience and provide a dynamic experience they won't soon forget. She loves to inspire and motivate audiences and move them toward action.

Please completely fill out the form below and submit. Having trouble or got questions? Email us at info@kellydparker.com.
Company Association (please provide information about company) *
Event Title *
Company/Event Website
Contact's Name & Title *
What is your role with planning the event? *
Contact's Address/City/State/Zip *
Contact's Email *
Contact's Phone *
Who in your organization is responsible for signing contracts? *
Event location (Address/City/State/Venue) *
What is the date and time of the event? *
What date and time would Kelly speak? *
Purpose of meeting/event *
Demographic and profile of group(s) to be spoken to *
What would you like Kelly to do? (i.e., keynote, conference workshop, panelist)? What topic would you like her to address? *
How long would the presentation last? *
About how many people will attend? *
What is your speaker budget? *
Is travel/lodging included for the speaker? (Kelly travels from Cleveland, OH) *
Would you like Kelly to do a book signing at the event? How many people will attend? Are you interested in pre-ordering books?
Is there anything else you'd like us to know?
Submit
Never submit passwords through Google Forms.
This form was created inside of kellydparker.com. Report Abuse