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Request Form for Susan
Susan is honoured to receive requests to share her time and expertise. As you can appreciate, Susan is very much in demand as an authority, influencer and educator, and her calendar is booked out months in advance.
We make note of all requests and table at planning meetings for Susan's schedule, however not all can be fulfilled. Providing the below information allows us to schedule Susan's time efficiently and effectively.
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Name
*
Your answer
Email
*
Your answer
Your Website:
Your answer
Date(s) Requested (yyyy/mm/dd):
*
Please use this format: yyyy/mm/dd
Your answer
Time(s) Requested:
*
Please include your time zone.
Your answer
Estimate of the total time involved, including prep, testing and setup if applicable:
*
Your answer
Is the event virtual?
*
If not virtual, please include an extra sheet with the details of the location, facility set up, transport, accommodation, catering, technology capabilities, presenter expectations.
Yes
No
Required
Virtual Events: Please share specific details (Zoom / Podcast / Webinar / Social Media)
Your answer
Non Virtual Events: Please share specific details (Location / Facility set up / Transport / Accommodation / Catering / Technology Capabilities / Presenter Expectations)
Your answer
Purpose / Outcomes
*
Please let us know the purpose and specifics of your request, including desired outcomes and expected audience if applicable.
Your answer
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