Speaker Inquiry Form

Speaker Inquiry Form

Invite Nekohl Johnson to speak at your event or on your Podcast
Thank you for considering me for your speaking engagement.

Please complete the form below and my team will get back to you with the next steps. Please allow 24-48 business hours.
What type of speaking are you interested in?

Keynote - full dayKeynote - multiple daysRetreat SpeakerParticipate as part of an Expert PanelMaster of Ceremonies - emcee your eventHost/Co-host your eventAward PresenterInterview Nekohl - Radio, Television, Podcast, Summit, Other (one time interview or a series)A Guest Appearance at your Event
About Your Organization
Contact Name

First NameLast Name
Email Address*
example@example.com
Phone Number

Area CodePhone Number
Name of Organization
Website Address*
Industry or Profession
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Event Date

MonthDayYear
Date
Event Time

:HourMinutesAM/PM Option
What is the Theme/Topic of your Event?
Event's Title and Type of Event
What do you want your audience to take away and really get out of this event? This helps me to customize my presentation for your event to meet your goals and objectives.
Estimated number of attendees?
Is this engagement virtual or in-person?

VirtualIn-PersonUndecided
What is your budget for the speaker fee? (including travel & accommodations)
How did you hear about Nekohl?
Is there anything else you wish to share with us about your event that you think we should know?
Please verify that you are human*
Should be Empty: