Speaker Request Form - Ms. Shaylon Scott
Please respond with the requested information (3-5 days from submmittal) in order for us to determine Ms. Shaylon's availability to attend your speaking engagement.
What is the name of the event?
Contact Name :
Contact Phone Number:
Date of the Event
Time of the Speaking opportunity:
What type of speaking format are you seeking? (ie. panel/keynote/etc) What subject matter are you requesting to be discussed?
Paid or Unpaid Speaking Opportunity:
Paid (pricing discussion to follow)
Unpaid (honorarium/compensation discussion to follow)
How did you hear about my services?
Comments and/or questions
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