Vanessa Canteberry Booking Request Form

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 NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Conference Name*
Event Dates & Expected Arrival Time*
Location/City*
Conference Date*

MonthDayYear
Date
Type of Event/Brief Description*
Requesting Role*

HostEmceeModeratorKeynote SpeakerPanelistGeneral AppearanceOther
Is this a tickted event*

YesNo
Is this a nonprofit event*

YesNo
Will this event be recorded and distributed for commercial purposes?*

YesNo
Is Vanessa allowed to sell merchandise?*

YesNo
Are you providing hair, makeup or car service?*

YesNo
Is Vanessa expected to do any press/media to promote the event?*

YesNo
Will Vanessa be the only name/image used to promote the event?*

YesNo
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.
Should be Empty:

Please note a 50% deposit is required when booking, and final payment must be received 7 days before the event.