ABPLLC Client Services Form
Providing Speaking, Training, & Consulting Services
Type of Event
Conference/Seminar Styled-Event
Organization/Corporate Event, e.g. monthly, quarterly or annual meeting
Special or Commemorative Event
Annual Organizational Event
Training/Education Event
Kick-off or Finale Event
Other
Primary reason for requesting ABP, LLC's experience and expertise
Training: Skills-building or Softskills Consultation/Training
Speaking: Motivational (Prefer positive, inspirational without biblical references)
Speaking: Ministry (Allowed to use Christian and biblical references)
Education: Teaching Course/Class/Topic
Speaker Services to be Rendered
Feature/Keynote Speaker
Workshop Trainer/Facilitator/Presenter
Author Appearance or Book Signing
Event Panelist
Event Host
Class/Session Educator/Facilitator
Other
Primary goal you want this experience to accomplish for attendees
Train us (show us how)
Educate us (increase our knowledge base)
Motivate us (shift momentum, drive forward )
Inspire us (shift outlook upward, refresh perspective)
Celebrate us (acknowledge success, progress, contributions)
Care for us (respect, self-care, balance, healing space)
Event Name, Theme or Vision:
Brief Details of the Event (i.e. goals, expectation, etc.):
Expected Attendance Range?
What concern(s) is/are the organization confronting that you will like for Angela to address in the context of the speaking, training, or teaching for those invited to attend?
Proposed Date of Event (Start Date)
Total Days for Event
One-day ONLY event
Consecutive days, i.e. Mon-Tues-Wed
Intermittent days, i.e. 3 Mondays
To be determined
If Multi-Day, please indicate details on how many days and dates proposed:
Is (are) the date(s) SET or being determined?
Established: Event dates SET, being promoted, venue in place, etc.
Expected: Proposed but FIRM, No change preferred
Flexible Options: Event dates can be determined together
Proposed Time(s):
Deadline for Confirmation:
Hosting Organization:
Hosting Organization Website:
Venue Name:
Venue Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Venue Seating Capacity? (if known)
Closest Airport? (if known or applicable)
List special luncheons or other events where Angela's attendance is required or requested as part of this event: (if any)
List other invited speakers or trainers for this event?
Will there be formal photography, audio/video media recording of event?
Yes
No
Undecided
Other
Will the event be streamed live via the internet or social media?
Yes
No
Undecided
What is your budget for services we will provide, i.e. speaking, educating, training, facilitating, consulting, etc.
Is Angela Bailey Page, LLC allowed to sell books, training materials, merchandise, etc. at/during/after event?
Yes
No
Prefer to discuss
Point of Contact Information
Name
First Name
Last Name
Email
example@example.com
Phone Number
-
Area Code
Phone Number
Submit
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