Interested in having Debbie speak at your event?
Please complete the form below so we can get to know you and your event in greater detail.
Event Website/Company Website:
What is the name of the event?
What topic are you interested in me presenting?
Advance Directives and Planning
Advocating for Your Loved Ones
Caring in the Chaos of Today’s Healthcare
Control Your Aging Years
Family Feuds in Healthcare
Preparation During Incapacity
Tension Between Medical & Legal
Topic Customized to Your Audience
Where is the event being held?
Leave this blank if the location has not yet been set.
Street Address Line 2
State / Province
Postal / Zip Code
Proposed date of the Event:
Duration of Debbie's talk.
How many attendees are expected?
Will there be an opportunity to sell books/other products at the event?
Will travel expenses be covered by the event? (If required)
Why do you think Debbie would be a good fit as a speaker for your event?
Is there anything else we should know?
Should be Empty: