Ms. Michelle Furgiuele

Ms. Michelle Furgiuele

Engagement request form
Name

First NameLast Name
Email
example@example.com
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Date of the event*

MonthDayYear
Date
Location of the event
Type of organization (Private, Public sector, Law Enforcement, Service Providers, Youth workers, Hotels etc)*
Type of event*

ConferenceWorkshopPublic eventOnline event
Type of presentation*

KeynoteWorkshopPresentationInformational session
Hopeful outcome of Michelle's presentation*

Raising awarenessPreventionTrainingEducationOther
Is your event funded by a grant?
Is your event sponsored?
If tickets are sold how many, and how many audience members are you expecting?
Your budget without traveling costs (Please note that TC speakers can not offer their services for free or for charity rate. Without a professional fee in mind the request will not be processed by our office)*
Thank you very much for your interest in engaging Ms. Furguele for your next event. Our office will process your request and reply within 48 hours. If your request is urgent, please note it in the form.
Additional comments
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