Self-Advocacy Speaker Invite - Shailvi Wakhlu
Please fill out the form below if you have a speaking event for me to consider. Including more details helps me respond faster.

Learn more about me and the topics I cover here:

Exceptions to my speaking fee:
I choose to waive my speaking fee in limited number of cases for non-profits that are aligned with my values. 
Sign in to Google to save your progress. Learn more
Email *
Your name *
Topic of choice *
Read more about the various session topics here:

What is your budget for individual speakers at your event? *
Enter the range in USD. Please confirm it includes travel costs in case your event is in-person but not based in San Francisco.
Event description *
  1. Who is organizing the event (eg. a company, conference, organization, non-profit etc)?
  2. What type of a session are you looking for (talk, workshop, panel, AMA, discussion etc)?
  3. Location (in-person, virtual, hybrid)
  4. Dates
  5. Audience information - size, demographics, and other relevant details
Would you like to purchase copies of "Self-Advocacy" in addition to the speaker package? *
Learn more about the book: 
Bulk discounts are available with a speaking contract.
If your organization prefers autographed copies then I request a signed contract at least 1 month before the event date. Book orders placed directly on Amazon cannot be discounted.
Would you like to include up to two 1-1 coaching sessions (for individual contributors or executives) as part of the speaker package? *
** This benefit is being offered without an extra cost for contracts signed by Dec 2023 **
Please read more about the various session topics here, to understand the ideal audience:
Coaching session eligibility will be decided mutually during contract signing. These additional sessions must be used with 60 days from the main event.
How did you hear about me? *
Relevant details about you
Include a scheduling link if you have one available
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy