Speaking Inquiry Form
Please fill out the form below to get more information about booking Heather for a speaking engagement or Lunch and Learn at your company or event.
Email address *
First and Last Name *
Email *
Phone Number *
Event Type and Location (In-person talk, conference, webinar, etc.) *
Event Date (or proposed date) *
Audience (general, medical professionals, etc) *
How many people are expected to attend? *
What is your speaking budget? *
Will travel expenses be covered by the event?
Requested topic(s): *
Why do you think I would be a good speaker for your lunch and learn or event? *
Is there anything else you would like me to know? *
Submit
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