Rennie Curran Speaker Request Form
Thank you very much for your request to have Rennie Curran speak at your upcoming engagement. Rennie considers it a huge honor that you would consider him.
Please fill out the form below, submit the form, and a representative will contact you right away. We look forward to working with you!
Who is the POINT PERSON for this event?
Your answer
Email Address
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Title
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Contact Information
(What is the BEST phone number where you can be reached?)
Organization Name
Your answer
Address
Your answer
City & State
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Zip Code
Your answer
Event Information
Tell us about your event!
Name of Event
Your answer
Date(s) and Time of Event
Your answer
Event Location
Your answer
What is the expected demographics of your audience?
(Elementary Level, College Students, Adults, etc.)
Your answer
Expected Audience Size?
Your answer
Speaker budget for this engagement?(Range)
Your answer
Speaker information
Give us details about what you want Rennie to talk about
What message would you like Rennie to deliver?
Choose one
Required
Session Needs(Select One)
Are there any specific topics you want Rennie to focus on? What is the purpose or theme for your event?
(Optional)
Your answer
Describe the audience
What are some of the challenges they face? What do they want to learn/take away from this presentation?
Your answer
Will you be filming or taking pictures at the event?
Your answer
Vendor table available for book/product sales?
Your answer
Were you referred? If so, by whom?
Your answer
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