Speaker Request Form for Menna Riley
Please share a few details below about your event, audience, and goals. This helps us determine alignment and ensure the session delivers meaningful value for your attendees. We’ll follow up within two business days with next steps and availability.
Your Name
*
First Name
Last Name
Your Contact Email
*
example@example.com
Your Contact Phone Number
Format: (000) 000-0000.
Name of Business or Organization
Business or Organization Website
Name of Requested Event or Conference
Date of Event
/
Month
/
Day
Year
Date
What type of engagement are you interested in?
Keynote presentation
Facilitation or hosting (e.g., networking activation)
Workshop or training session
Panel/moderation
Other
What’s your event timing and format?
Approximate length (30–60 min, half-day, full-day)In-person / virtual / hybrid
What specific topic or theme are you exploring?
What are the top 1–2 outcomes you want from this session?
e.g. "Activate audience connections," "Drive sponsor value," "Build business development momentum"
Expected Number of Attendees
Can you describe who will be in your audience? Audience Demographics? etc.
What’s your budget range (or process) for this session?
How did you hear about Menna?
Any other details you'd like to share about your organization, audience or event?
Submit
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