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INQUIRE ABOUT PRESENTER

INQUIRING ABOUT THIS SPEAKER

Most presentations are only intended to last 10-15 minutes, and longer presentations are given a the discretion of the speaker.

SPEAKER:

WHO SHOULD WE CONTACT ABOUT YOUR REQUEST?

CONTACT NAME:

CONTACT EMAIL:

CONTACT CHAPTER:

TELL US ABOUT YOUR EVENT

EVENT TITLE:

EVENT DATE:

EVENT LOCATION:

ESTIMATED AUDIENCE SIZE:

EVENT DESCRIPTION:

EVENT OBJECTIVE:

SPEAKING TO / CHAPTER AUDIENCE:

WHEN IS THE SPEAKER NEEDED AT YOUR EVENT:

DETAILS FOR SPEAKER

TYPE OF PRESENTATION:

SPEAKING ON:

SME:

ADDITIONAL NOTES / REQUESTS:

I acknowledge and accept that the chapter will not be responsible for a speaker fee. However, I understand, the chapter is responsible to cover all the speaker’s airfare/travel to the event, ground transportation, and accommodations (if needed)