Conversation with London Event Intake Form

Conversation with London Event Intake Form

Let's start the conversation with your audience!
Organization Name*
Name of Event Organizer*

First NameLast Name
Work Phone*
Please enter a valid phone number.
Mobile Phone*
Please enter a valid phone number.
Email*
example@example.com
Event Date and Start Time*

MonthDayYear
Date
Hour MinutesAM/PM Option
London's Start Time*

Hour Minutes

AM/PM Option
Event Timezone*
Name of Event?*
Event Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Speaker Budget*
(What is your speaker budget for London's)
Which type of Speaker will London be needed for?*
Who are the other confirmed speakers?
Expected Number of Attendees?*
What type of event?*
Presentation Length*
(How much time will London have to present)
Available Equipment*
Any media that will be provided (microphone projector if needed etc.)
If you have an educational /gift budget, would you like to explore the option of gifting any of London products to attendees.*
Upload Promotional Flyer

Cancelof
Please verify that you are human*
Thank you!
Thank you again for your interest in having Conversation with London at your upcoming event. A member of our team will follow up with you within 24 hours to discuss your event in further detail. You may contact our event coordinator at BOOK@CONVERSATIONWITHLONDON.COM for further assistance.
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