ElevatED Speaking Booking Request Form
Thank you for considering Derrick E. Sanders, Jr. as a speaker for your event. To help us understand your needs and provide you with the best experience, please fill out the following details. Based on the information, we will send you a quote within 3-5 business days.
Organization/Company Name
Organizer's Name
Email Address
Phone Number
Event Name
Event Location (City, State)
Requested Date
-
Month
-
Day
Year
Date
Type of Event
Graduation Ceremony
General Event
Professional Development
Panelist
Masterclass/Workshop
Expected Number of Attendees
Event Start Time
Hour Minutes
AM
PM
AM/PM Option
Event End Time
Hour Minutes
AM
PM
AM/PM Option
Specific Topic or Focus for the Session
Event Agenda or Schedule
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Target Audience
High School Students
College Students
Parents
Teachers/Educators
Professionals
General Public
Adults & Students
Other
What is your event budget for the speaker's fee?
Do you offer travel lodging compensation?
Yes
No
Not sure yet
Company Website
Company Social Media Account Handles (Instagram and Facebook)
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