The Vet Space Speaker Request
Email address *
Today's Date *
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Name of Requestor *
Your answer
Phone Number *
Your answer
1. NAME OF EVENT: *
Your answer
2. DATE OF EVENT: *
Your answer
3. TIME OF THE EVENT(Please note am or pm): *
Your answer
4. EVENT ADDRESS: *
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5. IS PARKING PROVIDED? *
6. CONTACT PERSON DAY OF EVENT(Name, number and email): *
Your answer
7. WHAT IS YOUR SPEAKER BUDGET/HONORARIUM? *
Your answer
8. APPROXIMATE SCHEDULED TIME THAT TANYA/SHERRELL WILL SPEAK (How long will she have to speak?): *
Your answer
9. TARGET AUDIENCE (women, veterans, entrepreneurs, students, corporate, nonprofit, etc.): *
Your answer
10. TYPE OF EVENT: Conference/Gala/Etc.
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11. SPECIFIC TOPIC AND/OR THEME: *
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12. EXPECTED ATTENDANCE: *
13. IS THERE A Q/A SESSION AFTER THE PRESENTATION: *
14. Will The Vet Space be able to receive your email list? *
15. WHO SHALL WE THANK FOR THIS REFERRAL? *
Your answer
Thank you so much for requesting Sherrell/Tanya!
A copy of your responses will be emailed to the address you provided.
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