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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?
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    • Yes
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    Title of Your Event
    Event Name
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    If yes, please state the theme below.
    Event Theme
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    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?
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    • 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
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    Is this a Virtual or Face to Face event?
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    • Virtual
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    What is the date of your event?
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    How long would you like the presentation to be?
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    • 0.5 hours
    • 1 hour
    • 1.5 hours
    • 2 hours
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    What level is the audience at on the selected topic?
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    • Beginner
    • Intermediate
    • Advanced
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    If Face to Face where will the event be held?
    Event location here
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    Will there be a projector and screen?
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    • Yes
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    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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    How many people will be in attendance?
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    Is this a paid request?
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    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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    First Name
    Your First Name
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    Last Name
    Your Last Name
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    Email Address
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    Phone Number
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    Human-Centred Marketing Specialist, Coach, Speaker, and Creative Change Maker, on a Mission to help Entrepreneurs fulfil their Dreams.

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