JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Book Liza Wisner for a Speaking Engagement
Hi, I am so excited to work with you to PowerUp Your event!
You can always call me at +1.361.239.8760 and email
liza@powerup.org
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Event Hosting Organization or Person ("Client")
*
Your answer
Event Contact Person Name
*
Your answer
Phone Number
*
Your answer
Email Address
*
Your answer
Event Name (if there is one)
Your answer
Event Location (Virtual Meeting Platform or Location Address)
*
Your answer
Event Date
*
MM
/
DD
/
YYYY
Event Start Time
*
Time
:
AM
PM
Time Zone for Event
Central Time
Eastern Time
Pacific Time
Mountain Time
Hawaii Time
Alaska Time
Other:
Clear selection
How much time would you like Liza to speak for?
*
Your answer
How many people do you expect to be in attendance?
*
Your answer
What is your budget in US Dollars?
*
Your answer
Is there a theme of the event or what would you like Liza to speak or train about?
*
Your answer
What is the deadline (date) for when you need to confirm Liza as a speaker?
*
MM
/
DD
/
YYYY
Any other information that would be relevant for Liza to be prepared?
Your answer
Submit
Page 1 of 1
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms