Kenneth Kelly Speaking Request Form

Kenneth Kelly Speaking Request

Please fill out the form to book Kenneth Kelly for speaking engagements, virtual events, Conferences, and all other speaking request.
Full Name *

First Name Last Name
Phone Number *
E-mail *
example@example.com
Organization Type *

Grade School College/University Corporate Non Profit Other
Company Name *
Will the event be held virtually? *

Yes No
Name of Venue *
Venue Address *
Venue City *
Venue State *
Venue Zip Code *
Event Date *

Month Day Year
Date
Event Time *

Hour Minutes

AM/PM Option
Please provide any additional information about the speaking request:
Is your date final & confirmed? *

Yes No
Please provide details & the purpose of the event *
Estimated Number of Attendee's *

Under 50 100-250 250-500 500-1,000 1000-3,000 5,000+
Will this event be open to the public? *

Yes No
Event Demographic's Information *
Will tickets be sold for this event? *

Yes No
Will the event be recorded or streamed live? *

Yes No
Does Kenneth Kelly & his team have permission to record and/or stream this event? *

Yes No The event cannot be recored
Can products be sold at this event?

Yes No
Will Kenneth Kelly be able to sell products at the event?

Yes No
Pricing will be negotiated based on event details, demographics, travel, speaking topics, etc.

This is a paid speaking engagement/event. This is not a paid speaking engagement/event.
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