Booking Request Form

Booking Request Form

In order for us to provide you with the most effective assistance possible, kindly fill out the questionnaire. This questionnaire will help our team determine what services align with your needs. Due to Latoya Whitfield's schedule, she is unable to accept any pro-bono or significantly discounted opportunities at this time. Thank you for your consideration and we look forward to impacting your event
Name/Point of Contact *

First NameLast Name
Company/ Organization Name (if applicable)*
Event Name*
Company Website*
Phone Number*
Please enter a valid phone number.
Email address*
example@example.com
Details and Purpose of Event*
Event Attendee Demographics*
E.g. Women, men, teens, employees
How many guests?*
E.g 100
Event Time*
Full Address, City, State
Budget (Must input a dollar amount)*
Is this a virtual or in person event?*

VirtualIn person
Will Tickets be Sold For This Event?*

YesNo
Venue Address*
Full Address, City, State
When will you be ready to invest in this service*

NowNext 30 DaysWithin 60 Days60 Days or more
What Services are you Interested In?*

Keynote SpeechEvent/Panel SpeakerEvent HostingWorkforce DevelopmentLeadership TrainingOther
If "other" has been chosen, please explain*
What is the projected amount of time you would need for your event?*

30 minutes or less1 hour or less1-2 hours3-5 hoursOngoing basis
Please list any additional information that would be helpful.
Should be Empty: