Book Me

Book me for your next event…

Contact Name (required)

Name of Company

Email (required)

Phone Number

Fax Number

Mailing Address

Speaking Topic (required)

Date of Event

Time of Event

Type of Event

Event Location (city, state, and hotel/venue)

Length of Presentation Time

Audience Size

Audience Age Range

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?
YesNo

Will you film the event? (If so, request a copy)
YesNo

Internet access available?
YesNo

Vendor table available for book/product sales?
YesNo

Interested in purchasing books/workbooks for audience?
YesNo

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?

Onsite event contact name and cell phone number?