Speaking Inquiries

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.
Name:

First Name Last Name
Email:
example@example.com
Phone Number:

- Area Code Phone Number
Event Website/Company Website:
What is the name of the event?
What topic are you interested in me presenting?
Where is the event being held?
Leave this blank if the location has not yet been set.

Address:

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Proposed date of the Event:

- Month - Day Year
Date
Duration of Debbie's talk.
How many attendees are expected?
Will there be an opportunity to sell books/other products at the event?

Yes No Let's Discuss
Will travel expenses be covered by the event? (If required)

Yes No Let's Discuss
Budget/proposed fee:
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: