JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Interested in Booking Pamela Lue-Hing for Your Next Event?
Pamela helps entrepreneurs & organizations achieve their goals strategically
Sign in to Google
to save your progress.
Learn more
* Required
Company or Organization Name
*
Your answer
Event Name
*
Your answer
Event Date
*
MM
/
DD
/
YYYY
Organization/Company Contact Name
*
Your answer
Organization/Contact Email Address
*
Your answer
Organization Contact Phone Number (Mobile & Office Preferred)
*
Your answer
Organization Address (complete address please)
*
Your answer
Event Address (if different from organization's address)
*
Your answer
What will Pamela's role be? (keynote, workshop/seminar presenter, facilitator, emcee, etc.)
*
Your answer
Requested Topic(s)
*
Your answer
What impact do you want the speaker to have on participants? What action steps do you want your participants to take after hearing the message. Tell us more about the objectives and expected outcome of your event.
*
Your answer
What is the biggest challenge of your organization and/or for participants you want addressed in the message? (If applicable)
*
Your answer
Location of Event (Venue, City & State)
*
Your answer
Date & Time of Event
*
Your answer
What time would you like speaker to arrive at venue? (Depending on event type, Pamela arrives 30 minutes to 2 hours prior to start of event)
*
Your answer
How much time is allotted for Pamela to speak?
*
Your answer
Anticipated start & end time for Pamela
*
Your answer
Please describe the room set up. Include any lecterns, podiums, mics, room configurations, availability of AV equipment & connections, overhead screen/projector, etc.
*
Your answer
Describe event - purpose, theme, color scheme & brief history of event (Include any information/facts you want Pamela to reiterate during her presentation). If necessary, you can email details to
info@leadershipgrowthspeaker.com
.
*
Your answer
What is the expected number of attendees? Describe General Occupations and Interests
*
Your answer
Who was your speaker last year? (If applicable)
Your answer
Event budget allocated for Speaker
*
Your answer
Can speaker briefly share her services and products with your participants while speaking? Please detail policy and expectations.
*
Your answer
Are there vending opportunities? If so, please forward details to
info@leadershipgrowthspeaker.com
.
*
Your answer
How will event be promoted/marketed?
*
Your answer
Can Pamela share this event with her audience? If so, please email social media handles and applicable flyers to
info@leadershipgrowthspeaker.com
*
Your answer
How did you hear about Pamela? (Who can we thank?)
*
Your answer
Name and Title of Approving Authority for Agreement
*
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
Forms
This form was created inside of Powerhouse Unlimited LLC.
Report Abuse
Terms of Service
Privacy Policy