Vanessa Canteberry Booking Request Form
Please complete the following information about your event, and someone will get back to you within 24-48 hours.
Requestor's Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Conference Name
*
Event Dates & Expected Arrival Time
*
Location/City
*
Conference Date
*
-
Month
-
Day
Year
Date
Type of Event/Brief Description
*
Requesting Role
*
Host
Emcee
Moderator
Keynote Speaker
Panelist
General Appearance
Other
Is this a tickted event
*
Yes
No
Is this a nonprofit event
*
Yes
No
Will this event be recorded and distributed for commercial purposes?
*
Yes
No
Is Vanessa allowed to sell merchandise?
*
Yes
No
Are you providing hair, makeup or car service?
*
Yes
No
Is Vanessa expected to do any press/media to promote the event?
*
Yes
No
Will Vanessa be the only name/image used to promote the event?
*
Yes
No
If panelist, please provide discussion topic:
*
Estimated Honorarium
*
Estimated # of Attendees
*
Feel free to include important information you would like to share.
Please note a 50% deposit is required when booking, and final payment must be received 7 days before the event.
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