SPEAKING ENGAGEMENT!

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Book a Speaking Engagement

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Name* This field is required.

First Name

Last Name

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COMPANY/ORGANIZATION:* This field is required.

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TYPE OF COMPANY/ORGANIZATION

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POSITION OR TITLE IN COMPANY/ORGANIZATION

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E MAIL ADDRESS.* This field is required.

example@example.com

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PHONE NUMBER* This field is required.

Area Code

Phone Number

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EVENT DATE* This field is required.

Date

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BACK UP DATE* This field is required.

Date

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EVENT TOPIC OR THEME

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SPEAKER FORMAT* This field is required.

Keynote (less than 30 minutes)

Keynote (less than 1 hour)

Workshop

Panel Discussion

Online Panel (less than 1 hour)

Online Webinar - Key Note (less than 1 hour)

Other

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EVENT VENUE

Please include physical location or online platform

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NO. OF PARTICIPANTS

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TIME OF EVENT

Hour

Minutes

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BUDGET RANGE FOR SPEAKER FEE IN JMD/USD

Please indicate currency example $150,000 - $250,000 JMD

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WILL THE EVENT BE RECORDED?

YES

NO

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PLEASE SHARE ANY ADDITIONAL INFORMATION FOR THIS EVENT