Speaking Request
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
-
Area Code
Phone Number
Organization Name
Name of event and theme
*
Date/ time/ location of event
*
Is this an in person, virtual, challenge or podcast speaking request?
*
How many are expected to attend/listen/view?
Nearest airport to venue. Type NA if inapplicable
*
What is your budget for securing this speaking engagement?
*
Tell us more about the event's ultimate goal: is this a sales event for your company? Is this a professional development event? A leadership retreat?
*
Tell us more about the audience demographics and psychographics: Gender? Age? Status? Struggles?Be detailed
*
Tell us more about the audience: What do you want them to feel? Learn? Do?
*
Why are you requesting Julia at this event?
*
Will Julia be allowed to have a product table or talk about products or services she has for sale?
*
What other speaker information, perks, or restrictions do we need to know about this event?
*
Will Julia have complimentary access to a recording of her session?
*
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