Please fill out this form as completely as possible. This will help me in understanding what form(s) of service you are inquiring about.
Name of Organization or School
Organization or Event Website
Email Address of Contact:
Phone Number of Contact
Preferred Speaking Topic(s) or Service:
Preferred Speaking Format
Lunch & Talk
Developing SHEI'S Seminar
Do you have a location?
If so, where is the Location
City, State, Zip/Name of Venue
How long do you want me to speak?
i.e. 30 minutes, 60 minutes, 90 minutes, etc
Estimated Number of Attendees:
Can I sell books & will I have an area to sell & sign them?
Will I be able to use PowerPoint
If so, how should I submit them to you?
Email them to me ahead of time
Bring them on a flash drive
You can upload them day of from the internet
Anything else you would like for me to know:
How did you hear about me?
Should be Empty:
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