Speaker Request
Thank you for your inquiry regarding Shivonne Odom as a speaker at your event.
We look forward to learning more about your event. Please provide a quote regarding Shivonne's availability and potential participation as a speaker.
Please provide the following details or enter “TBD” (To Be Determined)
Name and Title of Person of Contact *
Email address *
Phone *
Name Organization
Organization Website
Organization's status
Event date *
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/
DD
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YYYY
Event location *
Event Website
Event name and theme
Expected number of attendees / participants *
Is the event free for attendees *
If the event is not free for attendees how much is registration/admission for each attendee? *
Other speakers / invited guests:
Event sponsor(s): *
Type of presentation requested:
Budget for requested speaker / presentation:
Other special requests (check all that apply):
What do you want attendees to get out of your event?
Can contact forms or info sheets be given to attendees?
Can products be sold at this event?
Additional comments / info about Event: (Target audience/focus)
Any supporting documents/ files pertaining to request
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