Dr. Jim Salvucci--Speaking Request
Use this form to request Jim Salvucci, Ph.D., to speak at your in-person or virtual event.
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Email *
First Name *
Last Name *
Phone number *
Company or Organization Name *
Company or Organization Address
Type of Speaking Event *
Is this event in-person or online? *
Are you offering a fee or honorarium for Jim’s presentation, or are you requesting a pro bono appearance? *
If it is an in-person event, will you cover travel and/or lodging expenses? (Check all that are applicable.) *
Required
Please provide as much additional information as possible regarding your event that you are requesting Jim to speak at, including its location if in-person.
 *
Please provide the date(s) that you are requesting for the presentation.
 *
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