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15-minute consultation
Please tell me more about your specific request. Completely the form will allow me to better access your request. Please wait at least 3 business days before inquiring about your submission.
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First and Last Name
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Email
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What organization are you representing? (If applicable)
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Please provide link to the organization you represent
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What is the purpose of your event?
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Event Date
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Event Time(s)
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Event location/venue
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Estimated Size of Audience
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What subject matter are you interested in hearing about?
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What age/educational status/demographic are you expecting to attend?
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What is your speaker's budget/honorarium? Please note that all expenses related to travel and lodging are required and are considered separate from the honorarium.
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Please include any additional information you think might help me evaluate your request.
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