SPEAKING REQUEST FORM

SPEAKING REQUEST FORM

Thank you for considering Bridget McCray to speak at your event! To get started, please complete the information below.
Name of Contact Person *

First Name Last Name
Contact Person's Phone Number *

Area Code Phone Number
Contact Person's Email Address *
example@example.com
Name of Organization *
What is the name of the event? *
On which subject would you like Bridget to speak? *
Briefly describe the event: *
Please include the event's topic.
In which city and state is the event scheduled to be held? *
How many attendees are expected at the event? *
Speaking Date(s) *
Speaking Time(s) *
How many sessions during the event would you like Bridget to speak? *
For what increment of time would you like her to speak per session? *

Up to 30 minutes 31 - 45 minutes 46 - 60 minutes
Would Bridget be allowed to have products available for sale and in a designated space at your event?

Yes No
Please add any other pertinent information here.
As a business owner herself, Bridget understands the importance of the financial aspect of planning an event, including timely payments to vendors. Please note that there would be a 25% NON-REFUNDABLE retainer due at the time of booking to secure her services, with the remaining balance due within ten business days of services rendered.

Type option 1 Type option 2 Type option 3 Type option 4
How did you hear about Bridget? *
Please verify that you are human *
Should be Empty: