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Speaking Engagement Form

Thank you for your interest in working with me! Please provide me with some information below so I can better serve you.

Name Of Your Organisation
Organisation Name
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Do you have a special theme for the event?
  • - select a option -
  • Yes
  • No
- select a option -
Field is required!
Field is required!
Title of Your Event
Event Name
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If yes, please state the theme below.
Event Theme
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Field is required!
Please provide some background information on the event.
Background information on the event...
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What topic would you like me to present on?
  • - select a option -
  • Using Social Media to Grow Your Business
  • Networking for Introverts
  • Unique Ways to Market Your Business
  • Finding Your Edge and Making Your Mark
  • Building a Social Media Strategy
  • How to Get Started in Business
  • Coping with Failure on the Road to Success
  • Get Out of Your Own Way
  • Marketing & Customer Service
  • Marketing without Money
  • How to Sell without Feeling Gross
  • Content Creation Made Easy
- select a option -
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Field is required!
Is this a Virtual or Face to Face event?
  • - select a option -
  • Virtual
  • Face to Face
- select a option -
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What is the date of your event?
Select a date
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How long would you like the presentation to be?
  • - select a option -
  • 0.5 hours
  • 1 hour
  • 1.5 hours
  • 2 hours
- select a option -
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Field is required!
What level is the audience at on the selected topic?
  • - select a option -
  • Beginner
  • Intermediate
  • Advanced
- select a option -
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Field is required!
If Face to Face where will the event be held?
Event location here
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Field is required!
Will there be a projector and screen?
  • - select a option -
  • Yes
  • No
- select a option -
Field is required!
Field is required!
Please describe your audience in as much detail as possible.
Age range, gender, goals, and why they are attending this event.
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Field is required!
How many people will be in attendance?
-
+
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Is this a paid request?
  • - select a option -
  • Yes
  • No
- select a option -
Field is required!
Field is required!
What are the 3 most pressing issues you would like addressed for your audience?
What are the 3 most pressing issues you would like addressed for your audience?
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Field is required!
First Name
Your First Name
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Last Name
Your Last Name
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Email Address
Your E-mail Address
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Phone Number
246 000-0000
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