Public Speaking Request
Anashay Wright, Disruptive Partners
Name
First Name
Last Name
Your Role
Company/Organization Name
Type of Speaking Engagement
Keynote (up to 30 min)
Panel Discussion (up to 90 min)
Host/MC an Event
Professional Learning
Other
Date of the Event
-
Month
-
Day
Year
Date
Time of Event
Hour Minutes
AM
PM
AM/PM Option
Number of Attendees
example@example.com
Speaker Budget for the Event
Are you interested in additional services?
Podcast (pre-post)
Masterclass (post-event)
Fireside Chat/Disruptive Conversations (post-event)
Org Wide/Conference MC
A Voice for Black Youth (w/ Chance Wright)
Community, Conversations & Cuisine
Anything else we should know...
Submit
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