The Master Playbook: Speaker InTake Form
Thank you for your inquiry regarding Holly Reid Toodle, CPA of The Master Playbook.

We would be happy to learn more about your event/conference/convention, provide a quote, and to discuss Holly's availability and potential participation as a speaker. We appreciate any background you can share with us about how long your program has been around, its mission and goals, and the types of programs and services you provide.

Please provide the following details or enter “TBD” (To Be Determined):

Email address *
Name (First and Last) and Title *
Your answer
Name of The Organization You Represent: *
Your answer
URL of Your Organization's Website: *
Your answer
What is Your Organization's Status? *
Event Date: *
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Event Time* *
Please provide the anticipated time of the event and the duration (ex. 4pm - 6pm)
Your answer
Event Location: *
Please provide the physical address.
Your answer
Event Website/URL: *
Your answer
Event Theme: *
Your answer
1. Can you please share some background on your program and its history? What is the vision for your program? *
Your answer
2. What are your main goals in bringing Holly to your community / campus? How do you anticipate Holly will help you achieve your goals or address your challenges? *
Your answer
3. What would you need to see happen to consider this event a success? *
Your answer
4. What is the topic for the speaker’s presentation? Are there specific messages you would like Holly to convey to the audience? *
Please let us know if there are any special messages you’d like the speaker to focus on and any takeaways you would like to make sure the audience leaves with.
Your answer
Expected Number of Attendees/Participants: *
Your answer
Anticipated Age Range of Attendees/Participants: *
Your answer
Is the Event Free for Attendees? *
If Not Free, What is the Admission Price? *
Your answer
Other Speakers/Invited Guests: *
Your answer
Event Sponsor(s): *
Your answer
Type of Presentation Requested: *
Budget for Requested Speaker/Presentation: *
Your answer
Are Financial Literacy Materials/Books Desired? *
Your answer
Other Special Requests (Check all that apply): *
Required
Additional Comments/Info About Your Event: *
Your answer
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