Speaking Requests
Organization *
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First and Last Name *
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Email *
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Phone Number
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Name of Event or Website URL (If applicable)
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Type of event and Carl's speaking role *
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Event Date(s) *
MM
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DD
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YYYY
Desired date of Carl's presentation *
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DD
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YYYY
Event City *
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Event State *
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If outside the USA, please add your event country
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Approximate # of attendees for presentation *
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Approximate # of attendees for entire event (if applicable)
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Previous featured speakers at this event?
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Audience Description *
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Budget Range *
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Theme/Topics of interest *
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How did you hear about Carl?
(i.e. web search, social media, prior speaking event (please list which one), friend recommendation, etc)
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