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English (US)
Quinn Conyers Speaker Request Form
Thanks so much for your interest in having Quinn speak at your event. Please fill out the form below so Quinn will know how she can best speak and serve your audience to her greatest capacity.
REQUESTOR INFORMATION
Please provide your contact details so that Quinn's team can follow up with you promptly on your request.
How did you discover Quinn and why are you interested in her speaking services?
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
-
Area Code
Phone Number
Company/Organization
*
EVENT DETAILS
Tell us about your event so Quinn can get a better understanding of your organization and audience.
Event Date
*
-
Month
-
Day
Year
Date
Event Name
*
How long have you been hosting this event?
This my first year
Quarterly
Annually
Is this event virtual?
*
Yes
No
Event Start Time
1
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12
:
Hour
00
10
20
30
40
50
Minutes
AM
PM
AM/PM Option
Event End Time
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2
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5
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:
Hour
00
10
20
30
40
50
Minutes
AM
PM
AM/PM Option
Event Website
SPEAKING ENGAGEMENT DETAILS
Please provide specific details related to your request so that Quinn's team can follow up properly.
What speaking service would you like to book Quinn for?
Keynote Speaker
Workshop or Breakout Speaker
Panelist
Mistress of Ceremony or Event Host
A combination of 2 speaking services (i.e. workshop speaker AND panelist)
How long would you like Quinn to Speak?
Under 20 minutes
30 - 45 minutes
Up to an hour
Half Day Training (3 to 4 hours)
Full Day Training (4 to 6 hours)
Will you be providing a promotional flyer for Quinn to let her network know she is speaking at your event?
YES, of course
No, not for this event
Who will Quinn be speaking to?
Please provide information regarding the audience so Quinn can better understand who she is speaking and serving.
Tell us about your audience and event. Be specific (For example... Women entrepreneurs who've been in business looking to scale in 2021).
How many attendees are expected?
*
50+
100+
500+
1000+
Feel free to include any additional comments about the audience that you'd like Quinn's team to know:
COMPENSATION INFORMATION
Please provide answers to the following questions to help us understand your planning process.
Do you offer a honorarium or speakers fee for your Presenters?
YES of course
NO, not at this time
Whats your budget for the event?
Are attendees required to purchase a ticket for your event?
Yes
No
If this is a virtual event, are you able to provide a recording or copy Quinn's presentation to Quinn's tribe within 72 hours of the event?
YES of course
NO, becasue we are NOT recording the event
If you find Quinn's presentation satisfactory or superb are you willing to write her a Linked In Reccomendation within 72 hours of the event?
YES of course
NO I can't commit to that
I don't have Linked In, but Im willing to write her a reccomendation on company letter head
Submit the form below to reach Quinn's team. We will be in touch shortly. Thank you!
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