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Event Request Form
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* Indicates required question
First Name
*
Your answer
Last Name
*
Your answer
Email
*
Your answer
Phone Number
*
Your answer
Company/Association
*
Your answer
Company or Organization Type
*
Corporation
School
College
Non-Profit
Association
Church
Other:
Website
*
Your answer
What is your role with planning the event?
*
Your answer
Event Title
Your answer
Target Event Date
*
MM
/
DD
/
YYYY
Event Website
Your answer
Event Description
*
Your answer
How many people are expected to attend the event?
Your answer
What is the audience demographic for the event?
Your answer
What topics will you like Nnenna to address?
*
Your answer
Do you require multiple appearances?
*
Yes
No
Are you interested in ordering advanced books for your audience?
*
Yes
No
Will you allow Nnenna to do a book signing at the event?
*
Yes
No
What is your speaker fee budget?
Your answer
Does your budget include travel/lodging for speaker plus one assistant?
*
Yes
No
Does your budget cover ground transportation and meals?
*
Yes
No
Any additional information you want to share?
Your answer
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