Speaker Inquiry Form
Thank you for your interest in having Naimah "Ni" Pears speak at your event. To help us gather the necessary details about your event, please fill out this questionnaire form. This will provide us with an overview of your event's specifics, enabling us to assist you more effectively once we receive your inquiry. We truly appreciate your willingness to collaborate with us and your time in completing this form.
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Full Name (Point of Contact-POC)  *
Email Address  *
Phone Number  *
Organization Name  *
Website or Social Media Handle (Optional)
Event Details 
Please provide as many details as possible regarding your event, ensuring that your descriptions are thorough and vivid.
Event Type (In-person or Virtual)  *
Event Name *
Event Date(s) *
Event Location (City/State) *
What are the following aspects of this event: Theme, Cause, Purpose, Significance, Occasion, and so on?
*
Approximate Audience Size for Event  *
Speaker Role 
In this section, you will outline the role that Naimah Pears will fulfill at your event.
What role are you interested in Naimah fulfilling?
(Check all that apply)
*
Required
Are there particular topics that Naimah should address, or specific levels of interest to consider? *
Logistics 

Let’s discuss the following aspects:

  • Budget

  • Transportation

  • Length of Presentation

Presentation Length *
Required
Budget for Speaker  *
Will travel/accommodations be provided if in-person? *
Final Section 
Please inform us if there is anything additional you would like us to know regarding the event, audience, date, or any other details.
How did you hear about Naimah Pears? 
Anything else that you would like to share? 
Submit
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