Speaker Request Form

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Speaker Request Form

Thank you for your interest in Shani joining your event! We're honored.

There are more events than we're able to accomodate, but we hope to make your event work.

Please share more about your event. We will look to reply to you within 1 week of receipt of your request.

What is the name of your event? *

Please share the date, location and time of the event

What role do you want Shani to have? *

Keynote

Panelist

Moderator

Other

What in particular makes Shani a good fit for your event speaking priorities? *

Is there an honorarium for speaking? *

Yes

Maybe

If there is an honorarium, please share more.

Please share more about the target audience for the event (who they are, how many, what brings them to the event, etc.) *

Please share any additional logistical details about the event (arrival time, any pre-event requirements, day of parking needs, any travel, etc.) *

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