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Brad Sumrok Speaking Request
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First Name
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Your answer
Last Name
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Your answer
Phone Number
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Your answer
Email Address
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Your answer
Website URL
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You can include any relevant URL i.e., Podcast platform, Youtube Channel, etc
Your answer
Business Description
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1-3 Sentences (who you help and how you help them)
Your answer
Type of Event
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Choose
In Person - Live Event
Virtual - Live Event
Podcast
Estimated length of time
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Your answer
Provide the main topics / talking points you'd like Brad to speak on
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How will content be distributed?
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Youtube
Podcast Platform
Free Online Group
Social Media
Website
Other:
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Audience size / downloads / views of your average last 3 events / podcasts / videos?
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Your answer
What is the date of the engagement?
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Note: If the dates are flexible, please include a reservation booking link, or date / time frames you are available
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Can Brad share information about any of our upcoming events or programs?
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Yes
No
Will you send raw footage of the presentation / interview after the event / interview?
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Sumrok Team intends to use footage
Yes
No
Do you give Sumrok permission to use the footage in any capacity?
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I.e. social media content, ads, website content, etc
Yes
No
Please include any additional comments
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