Speaking Request Form for Jeff Shinabarger
Are you interested in having Jeff speak for an event you're apart of? Fill out the speaker request form, and we'll be back to you as soon as we can.
Date(s) of events
(i.e. June 17-18 2013)
Time(s) of events
City/State of Event
(i.e. Atlanta, GA
(i.e. Georgia World Congress Center)
Who does this event primarily target?
What is the projected size of the event?
Who else is speaking at this event?
Please describe the vision of your event and how you see Jeff Shinabarger fitting into the vision.
How much time will Jeff have to share?
At what time[s] would Jeff be speaking?
What kind of media will Jeff be able to use while he's speaking
(i.e. Can he show a video, or have a powerpoint presentation?)
How many of Jeff's books would you like to purchase?
[books come in case quantities of 24 at $10 per book.]
Jeff often travels with a staff or family member. Would travel expenses and accommodations for one additional person fit within the event budget?
What is the nearest airport?
How did you hear about Jeff Shinabarger?
Would you offer exhibiter/booth space for Gift Card Giver and Plywood People?
Contact Person Name
City, State, Zip
Organization Phone Number
Mobile Phone Number
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