how did you hear about me?*
IF WORD OF MOUTH, WHO CAN I THANK FOR THIS REFERRAL?
Which topics are you interested in?*
Please describe the event:*
Please provide the length of time you would like me to speak:*
What would you like attendees to take away from this event?*
Please describe your audience demographic (i.e. age, geographic region, psychographic profile, etc):*
What is your speaking budget range?*
If no, how many attendees did you have at the last event?*
Please describe your marketing plan to fill the event:*
How many attendees are projected to come?*
Are you selling products or programs at the event?*
Will I be able to sell my own products and services at the event?*