Speaker Booking Form

Speaker Booking Form

Please book for your conference by filling the form below, specify the expected number joining the conference.
Full Name *

First Name Last Name
E-mail *
Phone Number *

Area Code Phone Number
Number of people attending *
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Payments are processed through PayPal. You may pay using an existing PayPal account, or any major credit card / debit card.
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Speaking Services ( 1 hour or less) $ 150.00
Motivational Speaking services only. No facilitator services.

Facilitator and Speaking Services (per hour) $ 90.00
This service provides motivational speaking sessions in addition to presentations and workshop/seminar services. Some materials are provided.

Total $ 0.00
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