Pre-Event Questionnaire

Pre-Event Questionnaire

Please completely fill out the form below
Comp/Association
Current Website URL (if applicable)
Contact's Name

First NameLast Name
Title
Phone Number

Area CodePhone Number
E-mail
Event location: (City, State, Venue
Date of Event: What date & time would Grace speak?
Demographic and Profile of Group (s) to be spoken to
What is your speaker budget? Is travel/lodging included for speaker PLUS one assistant? What is the closet airport? Will ground transportation and meals be provided? (Grace will be traveling from Dallas, Texas)
If you do not have a speaker budget, how will you be able to accommodate? Will you be able to offer videos/photograpy for future marketing, email list of attendees
What exactly would you like Grace to do (.e. keynote, conference workshop, panelist, hosting)
How long would the presentation last?
Additional comments:
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