Speaker Request Form
Thank you for your interest in having Adelai speak at your upcoming event!
Please take a few moments to provide the details below so our team can review your request and respond promptly.
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Email *
Name of Organization/Host *
Contact Person Name *
Contact Person Email *
Contact Person Phone *
Website or Social Media Links
Type of Event *
Event Theme or Purpose *
Event Date *
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Event Time *
Time
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Event Location, include City and State *
Expected Attendance / Audience Size *
Audience Demographic *
Requested Role *
Topic Requested: (If specific, please share. Otherwise, we’ll recommend one based on your theme.) *
Length of Presentation *
Desired Outcome: What would you like attendees to learn, feel, or walk away with? *
Will there be other speakers or sessions? *
If yes, who else is participating?
Is the event in-person, hybrid, or virtual? *
For in-person events, what travel arrangements are covered? (Flight, hotel, transportation, meals, etc.)
What resources or equipment will be provided for the speaker? (Microphone, projector, screen, clicker, stage, table, etc.) *
Will there be audio or video recording of the session? *
If yes, please note how the recording will be used and if the speaker will receive a copy.
What is your speaker budget or honorarium range for this event? We understand budgets vary; this helps us customize a package that works best for your needs. *
Are you open to book sales, product table setup, or digital offer promotion at the event? *
When do you need a response by? *
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Anything else we should know to help us serve your audience best?
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