Speaker Interest Form
For Greg E. Hill "The Culture Change Agent"
Email address *
Name *
Organization *
How Did You Hear About Greg?
Best contact number *
Type Of Event *
Date & Time of Event *
How long would you like Greg to Speak?
Location of Event *
Estimated Size of Audience *
Intended Outcome of Presentation *
What is the #1 Struggle for your audience? *
Additional Comments
What is Your Projected Budget for Securing Services *
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