Quanella Jordan: Speaker Inquiry Form

QUANELLA JORDAN

"Nanny Q"
Are You Ready to Leave Your Audience Empowered, Educated, Inspired, and Ignited?!
Speaker Inquiry Form
Thank you in advance for taking the time to tell me about your event. A member of our team will get back to you shortly with the next step. Please complete the form below by choosing appropriate boxes of interest to you and your organization.
What type of speaking are you interested in?

Keynote - full day Keynote - multiple days Mastermind - half day/evening Mastermind - multiple days Retreat Speaker Participate as part of an Expert Panel Master of Ceremonies - emcee your event Host/Co-host your event Award Presenter Speaker at your Product Launch (endorsement) Interview Quanella - Radio, Television, Podcast, Summit, Other (one time interview or a series) VlRTUAL Event - Speaker Request A Guest Appearance at your Event
About Your Organization
Name of Organization
Contact Person

First Name Last Name
Website Address
Industry or Profession
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Email Address
example@example.com
Name

First Name Last Name
Phone Number
Event Date

Month Day Year
Date
Event Time

Hour Minutes

AM/PM Option
What is the Theme/Topic of your Event?
What is the Title or Topic that you are requesting Quanella to speak on?
Speaker Timeframe:
Dress, Theme, or Attire Preference:
Event's Title and Type of Event
Address of Venue

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Estimated number of attendees?
Please provide a link to your event’s website (alternatively please attach a draft agenda / programme)
Is your event sponsored? If so, please provide details
What do you want your audience to take away and really get out of this event? This helps me to customize my presentation for your event to meet your goals and objectives.
What is your budget? (including travel & accommodations)
Is there anything else you wish to share with us about your event that you think we should know?
FOR ANY QUESTIONS, PRESS, COLLABORATIONS, OR INTERVIEW INQUIRIES - PLEASE EMAIL OUR TEAM AT:

NANNYQ@ASKNANNYQ.COM
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QUANELLA JORDAN

Are You Ready to Leave Your Audience Empowered, Educated, Inspired, and Ignited?!

Speaker Inquiry Form

FOR ANY QUESTIONS, PRESS, COLLABORATIONS, OR INTERVIEW INQUIRIES - PLEASE EMAIL OUR TEAM AT: