Speaker Booking Form
Email address *
Organisation *
Your answer
Address *
Your answer
Venue Address (if different to above) *
Your answer
Date of talk *
MM
/
DD
/
YYYY
Arrival/set-up time *
Time
:
Talk commences at *
Time
:
Talk duration *
Your answer
Name of contact person on the day *
Your answer
Phone number of contact person on the day *
Your answer
Email address of contact person on the day *
Your answer
Organisation website *
Your answer
Fee *
Although we do not charge for a speaker, we welcome donations and kindly suggest a donation of around £70 but we appreciate whatever you can give, if at all.
Your answer
Type of venue *
Equipment available *
Audience size *
Approximate audience size
Your answer
Audience age *
Approximate audience age
Your answer
Audience age *
Approximate audience age
Your answer
Booking Terms and Conditions
By submitting this form you agree to the following terms of engagement:
• DEMAND to be given at least 24 hours’ notice if there is a change of time / venue.

• The booking time will be adhered to as closely as possible, if the presentation is delayed due to organisation issues for longer than 60 minutes without 24 hours’ notice then the speaker will not be expected to remain and deliver the presentation.

• Reasonable care and attention should be taken by the organisation contact to ensure the speaker’s comfort and safety whilst on the premises.

Your Name *
Your answer
Your position in the organisation *
Your answer
A copy of your responses will be emailed to the address you provided.
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This form was created inside of DEMAND: Design and Manufacture for Disability.