Hi and thanks for your interest in me speaking at your next event! This is a quick form to help me gather some details so I can better understand what you are looking for and your expectations.
start
 
What's your name? *

 
Are you affiliated with an organization? If so, what's the name of the organization?

If you are not affiliated with an organization, feel free to skip this question.
 
What is the name of the event? *

 
Is there a website for {{answer_64707218}} that I can take a look at to get a better understanding of the event? If so, what's the URL?

If there is not a website, feel free to skip this question.
 
What is the date of the speaking engagement? *

This should be the date you actually want me to speak.
 
What kind of speaking format(s) are you interested in me for? *


 
Describe the speaking request in your own words. What do you want me to talk about? Include anything you think is important for me to know. *

 
Describe any speaker compensation in your own words. Please include your budget for speaking fees, travel and accommodations. *

 
Anything else?

If there is anything else I need to know that I did not ask about specifically, please let me know.
Thanks for completing this typeform
Now create your own — it's free, easy & beautiful
Create a <strong>typeform</strong>
Powered by Typeform