Dr. Yolanda Flournah-Perkins Speaking Request
Complete the form below and we will respond as soon as possible!
First Name *
Your answer
Last Name *
Your answer
Email *
Your answer
Phone *
Your answer
Organization Type *
Your answer
Company *
Your answer
Company Website *
Your answer
Venue Address *
Your answer
Venue City *
Your answer
Venue State *
Your answer
Venue Zip Code *
Your answer
Event Date *
MM
/
DD
/
YYYY
Is the Event Date firm? *
Details and Purpose of Event? *
Your answer
Event time *
Time
:
Estimated Attendee Numbers *
Event Attendee Demographics *
Your answer
Will event be open to the public? *
Will Tickets Be Sold For This Event? *
Will event be recorded or live stream? *
Can products be sold at this event? *
Speaker Fee
Dr. Yolanda Flournah-Perkins Standard Fees are as Follows:
National
- 40-60 minute keynote: $3,500.00 (travel expenses not included)
- Flight arrangements
- Hotel arrangements

International
- 40-60 minute keynote: $6,500.00 (travel expenses not included)
- Flight arrangements
- Hotel arrangements


If you would like to propose a budget, please indicate those details below: *
Your answer
Submit
Never submit passwords through Google Forms.
This form was created inside of Yolanda Perkins. Report Abuse - Terms of Service