KFE Booking Form

1

What is the name of your event?* This field is required.

2

Who or what organization is planning this event?* This field is required.

3

What is the event or organization's website?* This field is required.

4

What is your speaker budget?* This field is required.

5

Please include all social media accounts for the organizer and/or event.* This field is required.

6

What is the date of your event?* This field is required.

Date

8

What is your team requesting of Dr. Forbes?* This field is required.Please select all that apply.

Staff/Leadership Training (In Person)

Staff/Leadership Training (Virtual)

Teaching Session (In Person)

Teaching Session (Virtual)

9

What would be Dr. Forbes' session time?* This field is required.

Hour

Minutes

10

How long is Dr. Forbes being requested to speak?* This field is required.Please include time limits for each requested session.

11

If your event includes multiple dates, please include the individual dates and session times below.

12

Please provide all event details including event theme and other invited guests.Please be as detailed as possible to expedite the booking process.

13

What is the venue address?

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

14

Dr. Forbes' minimum speaking fee is $2,000 USD.* This field is required.This should not include hotel and lodging, if applicable.

15

Dr. Forbes' minimum speaking fee is $5,000 USD.

This should not include travel and lodging, if applicable.

16

Are you prepared to cover travel costs for Dr. Forbes and an assistant?* This field is required.

YESNO

17

Are you prepared to cover hotel accommodation costs for Dr. Forbes and an assistant?* This field is required.

YESNO

18

Who is the point of contact for this booking?* This field is required.

First Name

Last Name

19

What is the point of contact's email address?* This field is required.

example@example.com

20

What is the point of contact's phone number?* This field is required.

Area Code

Phone Number