Thanks for Booking Monic for Your Next Event
We are So Appreciative for your Organization Choosing Us
Point of Contact Name
*
First Name
Last Name
Your Title or Position
*
Your Email
*
example@example.com
Best Contact Number
*
Please enter a valid phone number.
Can We Text You at This Number?
*
Please Select
YES
NO
Name of Your Amazing Organization
*
Type of Organization
*
Organization Website
*
Event Start Date
*
-
Month
-
Day
Year
Date
Event End Date
*
-
Month
-
Day
Year
Date
Event Start Time Event End Time
Hour Minutes
AM
PM
AM/PM Option
Until
until
Hour Minutes
AM
PM
AM/PM Option
Event Name
*
Planned Number of Attendees
*
Purpose or Theme of the Event
*
What Challenges or Concerns is Your Organization Facing (if any) and What Outcome Would You Like to Achieve When The Event Ends?
*
Venue Name
*
Venue Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Closest Airport to Event
*
Is This Event Open To The Public?
*
YES
NO
Will This Event Be Recorded or Live Streamed?
*
YES
NO
Will You Have a Videographer at the Event?
Please Select
YES
NO
If you have a videographer, how many do you have filming the event?
1
2
3 or More
If a Videographer is Provided, Please List Contact Information
How Much Time Will Monic Have to Speak?
*
What Topic Would You Like Monic to Speak About? What Outcome Do You Want for the Audience?
Estimated Budget for Speaker
*
Estimated Budget for Merchandise
*
Estimated Budget for Professional Development (Workbooks/Online Programs/Workshops Live or Virtual) etc...
*
Submit
Should be Empty: