Dr. Tori Speaking Request Form
Dr. Tori offers keynotes, presentations, in-services, and workshops. Each presentation, etc. is tailored to the specific needs of your audience.
Name *
Email *
Phone
Name of your organization
Category *
Date of the talk *
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DD
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Event location *
Event description (theme etc.) *
Are there topics or areas of particular interest you’re interested in hearing about from the Dr. Tori?
Expected Duration: (30 minutes, 1 hour, Q&A etc.) *
Describe your audience *
What is the size of the audience? *
What are the sticky problems that this audience faces?
Estimated Budget? (honararium, travel expenses, etc.) *
Do you ask the audience to evaluate the presentation?
Website
Comments/Questions
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