SPEAKER REQUEST FORM
Dr. Darnyelle Jervey Harmon is a seasoned transformational speaker available for paid engagements on the topics of: Business Growth & Strategy, Leadership, Growth & Money Mindset and Entrepreneurship. You will not be disappointed! For more than 20 years, Darnyelle has transformed audiences from the moment she opens her mouth. Darnyelle will equip, empower, entertain and edify your audience. Please complete the form below in its entirety to start the conversation about making your event an Incredible One.
Organization Information
Tell us about the organization looking to book Darnyelle to speak
Company, Organization, or Group Name
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Business Name
Type of Organization
Corporation
Conference
College/University
Church
Other
Event Website
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URL of your event website
Contact Information
Tell us about the person completing this form
Name
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First Name
Last Name
Primary Contact's Email
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example@example.com
Primary Contact's Phone
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-
Area Code
Phone Number
Your role in planning the event
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Contact Name for the person who signs the final contract?
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Mailing Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Your Instagram
ie. @darnyellejerveyharmon
How did you hear about Darnyelle?
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About the Event
Event Location (City, State and Venue)
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Where would you like Darnyelle to speak?
Event Date
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When would you like Darnyelle to speak?
Number of Event Attendees
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Event Theme
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What's it about? What do you want attendees to walk away with?
Date and Time Darnyelle would speak?
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How long is your event?
Length and Time of Darnyelle's Talk/Presentation
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What time will Darnyelle speak? How long will she speak?
What exactly would you like Darnyelle to do?
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Keynote
Seminar
Workshop
Breakout Session
Panelist
Emcee
Topic of Interest
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What topic do you want Darnyelle to speak about?
How long will Darnyelle speak for?
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Who is this event for?
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Ex: Business Owners, Women, Marketing Professionals, etc.
Will a professional videographer and/or photographer be present?
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What else should we know about the event?
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Travel & Budget
What is your speaker budget to book Darnyelle?
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NOTE: Please include an actual dollar amount for consideration.
Does your budget include travel & lodging for Darnyelle plus one assistant?
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NOTE: Travel requirements include first class air and hotel accommodations for Darnyelle plus 1 when outside of local area.
What airport is closest to the event venue?
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Will ground transportation and meals be provided?
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Darnyelle travels from Philadelphia.
Book Signing
Would you like Darnyelle to do a book signing at the event?
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Yes
No
Would you like to pre-order books for every audience member? If so, how many?
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Put N/A if not interested
If Darnyelle accepts, we will provide a professional high-resolution headshot, and bio for marketing purposes. We do not approve nor authorize any likeness to Darnyelle Jervey Harmon or Darnyelle Jervey Harmon's photos, videos or content from the public domain (i.e. internet, social media pages, web pages, etc.) Do you agree to honor our request?
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Please Select
YES
NO
Additional Comments
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SUBMIT YOUR REQUEST
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