ARE YOU INTERESTED IN WORKING WITH DR. ERIKA?
Thank you for your interest in having Dr. Erika speak at your event! Our team will carefully review your submission and reach out to you within 24-48 hours to schedule a call so we can learn more about your event and discuss how we can create a transformational experience for your attendees. We look forward to the possibility of partnering with you to inspire courage and authentic living.
COMPANY/ASSOCIATION NAME
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WEBSITE
*
SOCIAL MEDIA HANDLES
KEY CONTACT NAME
*
First Name
Last Name
WHAT IS YOUR ROLE WITH PLANNING THE EVENT?
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KEY CONTACT EMAIL
*
example@example.com
KEY CONTACT PHONE NUMBER
*
Please enter a valid phone number.
Format: (000) 000-0000.
EVENT NAME
*
EVENT DATE
*
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Month
-
Day
Year
Date
EVENT VENUE
*
EVENT LOCATION (CITY/STATE)
*
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TELL US MORE ABOUT YOUR EVENT
WHAT'S PURPOSE, AUDIENCE DEMOGRAPHICS, GOALS?
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IS THIS A TICKETED EVENT?
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YES
NO
EXPECTED NUMBER OF ATTENDEES
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WILL THE EVENT BE RECORDED?
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YES
NO
WHAT TOPICS WOULD YOU LIKE DR. ERIKA TO ADDRESS?
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HOW LONG WOULD THE PRESENTATION LAST?
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WHAT IS YOUR BUDGET?
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WILL TRAVEL/LODGING BE INCLUDED FOR DR. ERIKA? PLUS ONE ASSITANT?
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WILL GROUND TRANSPORTATION AND MEALS BE PROVIDED?
*
IS THERE ANYTHING ELSE YOU WOULD LIKE TO SHARE ABOUT YOUR EVENT?
Please verify that you are human
*
Submit
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