Speaking Request
This form is to request booking information for speaking.
Full name of organizer and/or the organization.
Your answer
What type of event are you hosting?
If 'other', please specify the event type.
Your answer
What style of speech do you need? *
What topic do you want me to focus on? *
Will the event be in the US or overseas? *
If not in the US, please state where.
Your answer
If overseas, will you be able to cover all of my fees associated with speaking at the event? (Ex. lodging, transportation, etc.). *
How many days will the event be? *
If 'more', please specify how many days.
Your answer
There is a $150 per hour fee associated to the speaking, will you be able to cover it? If not, please explain.
Your answer
Please state anything else you would like me to know about the event.
Your answer
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