Dr. Tori Speaking Request Form
Dr. Tori offers keynotes, presentations, in-services, and workshops. Each presentation, etc. is tailored to the specific needs of your audience.
Name *
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Email *
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Phone
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Organization
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Category *
Date of the talk *
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Event location *
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Event description (theme etc.) *
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Are there topics or areas of particular interest you’re interested in hearing about from Dr. Tori?
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Expected Duration: (30 minutes, 1 hour, Q&A, etc.) *
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Describe your audience *
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What is the size of the audience? *
What are the sticky problems that this audience faces?
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Estimated Budget? (honorarium, travel expenses, etc.) *
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Do you ask the audience to evaluate the presentation?
Website
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How did you hear about Dr. Tori?
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Comments/Questions
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