Booking Request Form
Thank you for considering bringing Making Queer History to your organization or event! This form allows us to keep all of your info together in one place. Upon filling out this form, we'll try to get back to you within 2 days.
Email address *
First and Last Name *
Your answer
Name of organization, school, or event *
Your answer
Phone # of you or someone else who can be contacted the day of the event
Your answer
Address of Event (Please include room number if known)
Your answer
Date of event
MM
/
DD
/
YYYY
Time you'd like the event to start
Time
:
How long do you expect/want us to talk? Most workshops run about 90 minutes including time for questions, but we can tailor talks to be longer or shorter as needed.
Workshop (Choose all that Apply) *
If workshop series, please choose or write in the topic you'd like to learn more in-depth about.
Required
Honorarium *
We request $150 per workshop, but we want to encourage learning. If you're unable to cover the honorarium, in part or at all, let us know. We'll do what we can to accommodate your request regardless.
Is this event open to the public? *
We'd love to help promote your event and encourage folks to attend if its open to the public.
Is there anything else you want us to know about this event?
Your answer
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service