MB SPEAKER REQUEST

1
What's your name?* This field is required.
First Name
Last Name
2
What is the best phone number to reach you at?* This field is required.Ideally one we can text you on, if not we will email you our follow up questions.
Area Code
Phone Number
3
Event DateWhen is the event?
Date
Year
Month
Day
4
What is the name of the event?* This field is required.
5
What is your e-mail address?* This field is required.
6
What format of talk do you want Mandy for?
Keynote
Panel
Fireside chat
Hosting/Facilitating
Moderating
Other
7
Any other details of the talk can be shared here...
8
What is your approximate budget for Mandy?
9
What time and how long do you need Mandy to speak for?How long is the estimated presentation time?
10
What can you tell me about the audience and the desired objectives for the talk?
11
What is the anticipated room capacity and attendance for the event?
Huge
Large
Normal
Small
Ok
Ok
12
What's the venue?
Huge
Large
Normal
Small
Ok
Ok
13
Will the session be recorded and distributed?Any other details here about audience and distribution would be great.
14
Purchaser Organization
15
Is there anything else that we should know?Whatever you think would be helpful to know to support you best - tell us now! ✨
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