Speaker Request Form

Speaker Request Form

All booking requests must be processed through this form. Provide as much detail as possible about your event, speaker preferences, and contact information.
Host Organization
Person of Contact

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Event Information
Event Name
Event Topic
Mode of Delivery
Which speaker are you requesting?
Role Requested
Type of Event
Amount of time required
This is the full length of time the speaker is expected to log on or be present for.
Venue Address (if in person)

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Tell us more about your event
Include any other details that were not mentioned above.
How did you hear about us?
Honorarium

Honorarium for in-person events starts at $250CAD. Online events are billed every 15 minutes. Pro-bono requests will be considered in the order they are received.
Honorarium Amount and Details
Submitting a booking request does not guarantee approval. All speaker requests will be confirmed or declined by e-mail after reviewing them. Please allow 1 - 2 weeks for a response. To hold the date, you will be asked to submit a 50% deposit.
For events outside the Greater Toronto Area, the hosting organization is responsible for covering all travel costs and accommodations for the speaker. Please confirm below that you are able to arrange this.
Should be Empty: