Dr. Siobahn Day Grady Speaker Engagement Form
Thank you for your inquiry in having Dr. Siobahn Day Grady speak at your event. Fill out the following form and someone will follow up with you in 48 hours.
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Email *
Contact Person Name *
Contact Person Phone Number *
Contact Person E-mail Address *
Organization *
Organization Website *
Event Name *
Event Description *
Event Date *
MM
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DD
/
YYYY
Event Start Time *
Time
:
Expected Talk Length *
Will I be speaking for 15mins, 30 mins, an hour?
Event Venue Location *
Please include city and state if this is outside of the Triangle (Raleigh, Durham, Chapel Hill), North Carolina.
If you are outside of North Carolina, will your organization cover travel and lodging expenses? *
Speaker Budget *
What type of talk? *
Will the event be professionally recorded? *
Will the event be professionally photographed? *
Additional Details
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