Book Dr. Tisdale for your next event.
Complete the questionnaire to book Dr. Tisdale for your next event.
Contact Name
*
First Name
Last Name
Organization Name (if applicable)
Contact Phone Number
Contact Email
*
example@example.com
Name of Event
*
Date of Event
-
Month
-
Day
Year
Date
Event Location
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Presentation Length
16-25 , 25 - 35
Presentation Start Time
*
Hour Minutes
AM
PM
AM/PM Option
Requested Presentation Topic/Focus
How did you hear about Dr. Henry N. Tisdale?
Website
LinkedIn
Referral
Other
Audience Analysis: About The Audience
Executive Leaders
Faculty
Students
Adminstrators
Other
Preferred Type of Appearance
Keynote Address
Interview
Book Signing
Guest Appearance
Other
Audience Analysis: Avg. age range of audience
*
0-100
Speaker Objective: How do you want the audience to feel after the presentation
Inspired
Informed
Educated
Budget (What is your budget for the speaker?)
*
Will There be a Resource Table Available?
*
Yes
No
Additional Relevant Information or Requests
Please verify that you are human
*
Submit
Should be Empty: