Invite Dr. Shana to be a Keynote/Workshop Presenter
Want your attendees to get aligned?
Point of Contact for event
Date of Event
Name of Upcoming Event
Type of event
In person (with COVID precautions)
Type of talk
Mistress of Ceremonies
Other (explain in description box)
Length of talk requested
other (explain in description box)
Estimated # of attendees
Demographics of attendees (i.e. gender/age/other chx traits)
Provide a brief description of event and it's mission :
What is your budget for the speaking role you are requesting of Dr. Shana?
Will travel and hotel accommodations be provided? Reply N/A if virtual event
Will Dr. Shana have the opportunity to sell her products or services?
Why do you think Dr. Shana is a good fit for your event?
Please provide names of other confirmed influencers who will be speaking at this event if applicable
Anything else you want us to know?
Attach flyer or promotional information for event
Should be Empty: