Speaking & Media Requests
Thank you for your interest in booking ARI. Please fill out the following questions to the best of your ability. If you do not have all the details yet, that is ok. We can not grant each request but each will be reviewed and we will respond in a timely manner. Thank you.
Name
*
First Name
Last Name
Name of Organization/company
*
Phone Number
*
Please enter a valid phone number.
Email
*
example@example.com
Website
Type of request
*
Community or Awareness Event
Church Service
Conference
Radio/Podcast
Online/Printed Article
Television/Media Interview
Magazine/Newspaper
Virtual Speaking
Panel Interview
Name of Event/Program/Show
*
Event Location
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Date Requested for Event
*
-
Year
-
Month
Day
Date
Requested Speaking Time
*
Event Start and End Time
*
Event Description
*
Estimated Audience Size
*
Will we be speaking during multiple sessions/events?
*
Yes
No
TBC
Other
If other please explain
Please share a little about the event/show audience demographics
*
Length of speaking time
*
Requested Topic (Jessica's Story, Atlanta Redemption Ink, Awareness and Tattoo Identification, ect)
How did you hear about Atlanta Redemption Ink/Jessica?
*
Can you provide the following...
*
Hotel
Airfare
Other
If other please explain
*
Can this accommodation be for two?
*
Yes
No
N/A
What is your budget for a speaker/interview?
*
Do you have a set honorarium? We believe in compensating survivor leaders and lived experience experts for their time- we dont believe in re-exploitation!
*
Will your organization or company be willing to...
*
Take up a donation for Atlanta Redemption Ink
Allow us to have an informational/merch area
Other
If other, please explain
Additional Information you would like to share
Once we receive your request, we will review and get back with you with our speaking contract.
*
AGREE
Submit
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