Book Dr. MC Request Form
Thank you for your interest in booking Dr. MC! Please complete this form to help Dr. MC best understand the needs of your audience. We will follow up in 2-3 business days with a draft proposal and rate.

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Email *
Name and Position of Person Making the Request *
Contact Phone Number *
Organization/Institution/Business Name *
Organization/Institution/Business Website
How did you hear about Dr. MC's Self-Care Cabaret? Please select all that apply. *
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