Vernessa Cole- Speaker Request Form

Name*

First NameLast Name

Organization Name*

E-mail*

Phone Number*

Area CodePhone Number

Website (if applicable)

Event Name*

Event Date (s)*

Event Location *

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Event Start Time *

Event Duration (1Hr/2Hrs) *

Event type*

Event theme or topic*

Target Audience*

How many are expected to attend your event?*

Event Venue/ Online or In-Person?*

If Virtual, which platform*

Requested Topic/Area of Focus for Presentation*

Preferred Speaking Format*

Speaking Duration (15min/30 mins/1hr ) *

What is your budget? *

Are there any specific goals or outcomes you hope to achieve with this event?

Once you submit the form, we will review your details, connect to confirm and discuss the specifics of your event. Our team will schedule a follow-up call or meeting to finalize the booking process and ensure Vernessa is aligned with your event's goals and vision. This will be the perfect opportunity to address any questions, discuss logistics, and customize the speaking engagement to meet your audience's needs.

We’re truly excited to collaborate with you and deliver a transformative experience that will leave a lasting impact on your audience.

Unleash the Power of Presence

Contact Information

Event Details

Event Overview

Speaking Details