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)
* Required
Name and Title of Person of Contact
*
Email address
*
Phone
*
Name Organization
Organization Website
Organization's status
For Profit
Non-Profit/ 501 (c)(3)
Event date
*
MM
/
DD
/
YYYY
Event location
*
Event Website
Event name and theme
Expected number of attendees / participants
*
Is the event free for attendees
*
Yes
No
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:
Timed Talk (list time under additional info)
Keynote Address
Event or Panel Moderator
Panel Discussion
Workshop/ training
Other:
Budget for requested speaker / presentation:
Other special requests (check all that apply):
Meet and Greet
Speaker Attendance at Breakfast, Lunch, Dinner or Reception
Photo / Video permission
Media Interviews
Other
What do you want attendees to get out of your event?
Can contact forms or info sheets be given to attendees?
Yes
No
Can products be sold at this event?
Yes
No
Additional comments / info about Event: (Target audience/focus)
Any supporting documents/ files pertaining to request
Submit
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