Full Day Form KasimAslam.com

1
Are you looking for an in-person or virtual event?* This field is required.
In-person
Virtual
2
What would you like me to talk about?* This field is required.
Digital Marketing
Paid traffic
Entrepreneurship
Hiring
Other
3
When do you plan to have this event?* This field is required.For multi-day events, please select the date you would like me to speak
Date
Year
Month
Day
4
How many attendees do you expect?* This field is required.
5
Describe your participants* This field is required.Average age, background, industry, reason they are participating, etc.
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Ok
Ok
6
If there are other speakers, feel free to list them!* This field is required.
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7
Please describe the event* This field is required.Briefly describe what you are working on, please include name, location and link to previous events
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8
Name* This field is required.
First Name
Last Name
9
Email* This field is required.
example@example.com
10
Phone Number* This field is required.
Please enter a valid phone number.
11
Could you please share the allocated budget for speakers for this event?* This field is required.
Should be Empty: