Aisha Taylor Speaker Invitation Form
Thank you for considering Aisha Taylor as a keynote, speaker, or trainer for your upcoming event. I'm so excited to talk with you! You could choose anyone so I am excited that you are here. To ensure that we are a good fit for each other, I'd like to get to know a bit more about your needs. Once we get your completed inquiry form, we’ll reach out via email with next steps. If you have any questions feel free to email us at hello@fnphenomenal.com.
Your Name
*
First Name
Last Name
Your Contact Email
*
example@example.com
Your Contact Phone Number
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Area Code
Phone Number
Organization Name
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Organization Website (write N/A if don’t have a website)
*
Name of Requested Event or Conference
*
Theme(s) and/or Focus of Event
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What topics are you looking to cover at your event?
*
Date of Event
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Month
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Day
Year
Date
Time of Event
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2
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Hour
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10
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30
40
50
Minutes
AM
PM
AM/PM Option
Event Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Date requesting response by
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Expected Number of Attendees
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Demographic Information About Attendees
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Are you interested in hiring Aisha for a speaking engagement, workshop, or multi-day class/course?
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Will an Honorarium or Speaker Fee be Provided?
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Yes
No
What is your budget to hire Aisha Taylor as a speaker for your next event?
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$1,500 - $2,500
$2,500 - $5,000
$5,000 - $10.000
$10,000 or more
Other
Will Hotel and Travel Expenses be Reimbursed?
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Yes
No
Number of Speaking Sessions Requested
*
Will There be a Resource Table Available?
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Yes
No
Will There be a Volunteer Available to Run the Resource Table?
*
Yes, we will have a volunteer available.
No, Aisha Taylor will need to provide someone to run her resource table.
Additional Relevant Information or Requests
Submit
Should be Empty: