Speaker & Trainer Inquiry
Thank you for being interested in having Beverley Andre, LMFT as a potential speaker, trainer, or consultant. To receive a response to your request, please complete the entire form.
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Email *
Email *
Name/Title *
Phone Number
Organization *
Organization's Website *
Organization's Status *
Event date *
Event location *
Event Website *
In Person or Virtual? *
Expected number of attendees / participants *
Is the event free for attendees *
If the event is not free for attendees how much is registration/admission for each attendee? *
Other speakers/Invited Guests *
Event sponsor(s) *
Type of presentation requested *
Budget for requested speaker / presentation *
Other special requests (check all that apply): *
What do you want attendees to get out of your event? *
Can contact forms or info sheets be given to attendees? *
Can products be sold at this event? *
Additional comments and/or information about your Event: (Target audience/focus) event? *
In addition to submitting a completed form, send any supporting documents/ files pertaining to request to info@beverleyandre.com
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