Event Point of Contact
*
First Name
Last Name
Email
*
example@example.com
Event Location
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
-
Area Code
Phone Number
Date of Event
*
-
Year
-
Month
Day
Date
Name of Event
*
Expected Number of Attendees
*
Frequency of Event
*
Event Type
*
Summit
Conference
Corporate
Religious/Spiritual
Wellness Retreat
Coaching Session
Other
Is this Event Virtual, In-Person, or Hybrid?
*
What's Your Speaker/Trainer Budget?
*
$500-$1000
$1000-$3000
$3000-$5000
$5000 & above
What type of session would you like us to do
*
Host/Facilitate
Breakout Session
Keynote
Trainer
Panelist
Other
Please explain your Media Compatibility: slideshow, microphone, video, music
Are there any sensitive issues that I should be aware of OR topics that should be avoided?
What are some of the current problems/challenges/breakthroughs experienced by your attendees, industry, organization, association or people?
What are the ideas or take-a-ways intended to empower your attendees, industry, organization, association or people to maximize their performance?
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We look forward to serving your brand and vision! - In His Hands Team
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