Speaking Engagement Request
  1. *Indicates a required field
  2. Your Name(*)
    Please let us know your name.
  3. Company name
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  4. Type of organization
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  5. If "other" describe here
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  6. Website, if applicable
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  7. Your email(*)
    Please let us know your email address.
  8. Phone(*)
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  9. Preferred contact method
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  10. Purpose of the engagement(*)
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  11. Where will the engagement be?
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  12. Do you have a budget?
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  13. Who is the audience?
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  14. If "other" describe here
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  15. Estimated attendance
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  16. Preferred length of presentation
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  17. If "other" describe here
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  18. Start time
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  19. End time
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  20. Room type
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  21. If "other" describe here
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  22. What are the group's dynamics?
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  23. Will attendees know each other?
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  24. What formats have worked well in the past (based on evaluations from other presentations that you have done)?
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  25. What topics have been the most popular (based on evaluations from other presentations that you have done)?
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  26. What outcomes are you looking for the audience to learn?
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  27. What key issues, trends or challenges are pertinent to your company today and in the future?
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  28. Additional Comments
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