Speaker Booking Form
Please complete the following form to reserve a speaking engagement with The Royal Tech Team.
Which Royal Tech Team Member(s) would you like to speak?
Your answer
Event Title:
Your answer
Event Date:
MM
/
DD
/
YYYY
Start time:
Time
:
End time:
Time
:
Event Location (include building name)
Your answer
Address (include suite # & zip code):
Your answer
Parking instructions:
Your answer
If the event is in a hotel, what is the room name?
Your answer
Hotel phone #:
Your answer
Hotel fax #:
Your answer
Name of Host Organization:
Your answer
Contact Name:
Your answer
Mobile Phone:
Your answer
Contact Email:
Your answer
Is this request for keynote speaker(s), guest speaker(s), or panelist(s)?
Your answer
Theme of event:
Your answer
Topics of Discussion:
Your answer
What is the expected length of talk time?
Your answer
Demographics of audience (age, gender, occupation, etc.)
Your answer
How many members/guests are expected to attend?
Your answer
Name of individual introducing the speaker(s):
Your answer
What audio-visual equipment is available?
What time can technology equipment be setup for the presentation? (if applicable)
Your answer
Wi-Fi Network Name & Password:
Your answer
Additional Information:
Your answer
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