Meshell Baker Speaker Request Form
To inquire about Meshell speaking at your next event, please complete the form below or contact her Support Staff at info@meshellbaker.com or call +1(512) 937-3263
Email address *
Company/Organization Name *
Your answer
Company/Organization Website *
Your answer
Contact Name: *
Your answer
Phone Number: *
Your answer
Event Location (City, State, Venue): *
Your answer
Event to Sponsor *
Your answer
Scheduled event time: *
Time
:
What is the purpose of your event? *
Your answer
Who will be attending the event? *
Your answer
How many people will be attending? *
Your answer
What will be Meshell's role at the event? (Keynote, Workshop, Panel, etc.) *
Your answer
Is there a specific theme or topic for this event? *
Your answer
Is event free or will there be a charge for attendees? *
Your answer
What is your budget for this event? *
Your answer
Please list any additional information you think will be useful? *
Your answer
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