Speaking Questionnaire for Charreah
Thanks for your interest in having Charreah speak. Please complete this questionnaire for us to best serve you. We will reply within 3-5 business days. For any questions email info@shinearmy.com

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Email *
Organization Name *
Your Name *
Your Role for the Organization *
Phone Number *
Date of event *
Location of event *
Audience: Number of attendees and description of types of people  expected to attend *
Event Goal: What do you desire participants to gain from attending? *
Desired Role: How would you like Charreah to participate and length of time? *
Topic of Interest: What would you like Charreah to speak on?
Event Info: share website and promotional plan for event *
Offer: What are you budgeting to confirm Charreah as a speaker? *
Is this a ticketed event? *
Will this event be recorded? *
If  Charreah is confirmed as a speaker, we will provide a professional high-res photograph and bio for marketing purposes.  We do not approve nor authorize any likeness to Charreah K. Jackson photos, videos or content from the public domain (such as internet, social media pages, web pages)  Do you agree to honor our request? *
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