Please complete all details of this form to ensure all requests for your event are clear in advance to the speaker.
Email address *
Today's Date *
Name of organization *
Contact person and cell #? *
Please detail the name of event, conference and panel for this speaking request *
Date of presentation *
Please detail the speaking time, arrival time and location for this request *
What is the exact amount of time you are requesting Dayvee to speak? *
Who is the audience? *
How many people will be attending, and what is the make up of the audience?(journalism students, sales, tech, male/female ratio, how long employed, etc.) *
What is the primary purpose of the event? Any specific objectives? Is there a theme? *
Will there be any other speakers? If so, who? Will they be leading, following or joined on stage? *
Please list specific areas you'd like Dayvee to cover *
*you can request Dayvee's normal speaking topics. But she will specialize her talk according to your event/organization's needs.
Please identify top performers or standouts to Dayvee *
The program is often interactive, so please prepare to point out some participants on the day of the event
List any topics to avoid? *
What is your budget for this speaking engagement? *
What expenses will you cover? *
please be specific on travel, air travel, car service, hotel
If this is a request for a workshop, please complete this form and we will send you details on how to set that up.
please check box for which workshop time you are inquiring about
Clear selection
How is this event being promoted? *
Will there be media (print radio TV) at this event? *
Please list which media has been invited or expected?
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