Booking Form Inviting Francine to Speak

Are you interested in booking Francine Beleyi to speak at your event? Please complete this form in full and we will get back to as soon as possible. Please include any additional information that may be relevant or useful.

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First name & last name *
Name of your Organisation *
Your phone number/ Whatsapp number *
Your email *

Please briefly explain your situation, the number of attendees and any relevant information

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Proposed date & time *

How will the talk be delivered?

*
If in-person event, please give location *

Available budget

*

Any other details

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How did you hear about us? *
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