First Name (required)
Last Name (required)
Name of Company or Event (required)
Speaking Topic (required)
Date of Event (Month)---JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovembeDecember
Specify Time of Event (e.g. 7:00pm) (required)
Event Location Name
Length of Presentation Needed?
Multiple Presentations Needed?---YesNo
Describe the audience. What do they do?
What are their challenges?
What do they want to learn/take away from this session?
A/V equipment available?
Will you film the event? (if so, request a copy)
Internet access available?
Vendor table available for books/products sales?
Interested in purchasing books for audience?
What is your budget for this presentation?
What are the guidelines for travel budget and arrangements? Should I book the travel or will your company handle that?
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