Booking Enquiry Form
Thank you for your inquiry. To better serve you we will need your completed form. Once we receive the filled form, we will contact you within 48-72 business hours.
Company/Organization's Name
*
Company/Organization's Website
*
if none available place n/a
Contact's Full Name
*
First Name
Last Name
Contact's E-mail
*
example@example.com
Contact's Phone Number
*
Event's Location (City, State & Venue); If Virtual please indicate the space
*
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
What is the purpose of your event? (Example: Teen Program, Parenting Group, Church)
*
Which workshop are you requesting?
*
What is your proposed date for your event? If there is secondary date please list that as well.
*
Number expected in attendance
*
If tweens or teens will be in attendance what are the grade levels?
*
How much time does Tanya have to speak for this event?
*
Type a question
What is your budget for your requested speaker(s)?
*
Is there any additional information you believe Tanya needs to know to be prepared for this event?
*
Submit Form
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