Nakia L. Roberson Booking Request
Available for Corporate and Professional Events
First & Last Name *
First and last name
Company/Organization *
Email *
Phone Number *
Company/Organization Status *
Name of Event *
Address/Location of Event *
Date of Event
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Type and Goal of the Event *
Expected Number of Attendees *
Cost of event admission? *
What is the speaker slot time interval? *
Will speaking slot be followed by Q & A Session? *
What is your speaker budget? (include exact $ amount or range) *
How can Nakia contribute to your event? *
Required
Nakia is located in Houston, TX, will travel accommodations be needed? *
Will Nakia be allowed to promote any of her products/services? *
Will  Nakia be allowed to bring her photographer/videographer? *
Presentation/Speech Topic Preferred (ex... Faith, Spirituality and Mental Health, Grief and Trauma, Self-Love, Relationships etc..) *
Please list any event sponsors *
Will there be media present? If so, please provide list of all media outlets? *
Any additional information you would like to provide? *
Deadline for response *
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This form was created inside of Next Stage Counseling & Wellness.