Speaking Request Form Stéphanie Dauphin
Ask Stephanie to speak live at your event.

I’m sold! I have an event I want Stéphanie to talk to!

Excellent! Fill out this form and I will answer you in 2 business days. I’d like to speak in your organization.

I just have to be sure we’re a good fit!
Your first and last name: *
Your answer
What is your best email? *
Your answer
What is your phone number? *
Your answer
What is the link to your website? Please also share the specific website of the event: *
Your answer
Please share your other social media' URL so that I can evaluate if our services are a good fit (Facebook, Twitter, Instagram, Youtube, etc.): *
Your answer
Where & when will the event be held? *
Your answer
How many people will be attending your event? *
Your answer
What is the budget for the event and proposed speaking fee and/or perks? *
Your answer
Please share a description of your event: *
Your answer
Who is your primary audience for the event? *
Your answer
Who else will be speaking at the event? *
Your answer
What would you like Chantelle to speak on? *
Your answer
Anything else you want me to know? *
Your answer
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