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 Name
Last 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?
*
Virtual
In person
Will Tickets be Sold For This Event?
*
Yes
No
Venue Address
*
Full Address, City, State
When will you be ready to invest in this service
*
Now
Next 30 Days
Within 60 Days
60 Days or more
What Services are you Interested In?
*
Keynote Speech
Event/Panel Speaker
Event Hosting
Workforce Development
Leadership Training
Other
If "other" has been chosen, please explain
*
What is the projected amount of time you would need for your event?
*
30 minutes or less
1 hour or less
1-2 hours
3-5 hours
Ongoing basis
Please list any additional information that would be helpful.
Submit
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