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
Contact Person's Phone Number
Contact Person's Email Address
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?
How many sessions during the event would you like Bridget to speak?
For approximately what increment of time would you like her to speak per session?
Up to 30 minutes
31 - 45 minutes
46 - 60 minutes
61 - 90 minutes
How did you hear about Bridget?
Would Bridget be allowed to bring products to have available for sale at your event?
Please add any other pertinent information here.
Please verify that you are human
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