Public speaking
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First Name
*
Last Name
*
Phone
*
Email
*
Name of event / conference
Date of the event / conference
Expected number of attendees
What are the primary goals you hope to achieve with this speaking engagement?
Motivate the team / audience
Educate on a specific topic
Inspire change or action
Other (please, specify in the next question)
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If your reason is "other", please clarify it here
Are there specific themes or topics you'd like the Speaker to address?
Describe the primary demographic of the audience (e.g., age range, professional background, etc.):
What is the allotted time for the speaking engagement?
Are there specific formats or setups preferred (e.g., keynote, workshop, panel discussion)?
To ensure alignment and maximum value, are you open to a preparatory call with us to discuss the event's nuances?
Yes
No
Is there any other information or specific requests that you believe would be helpful for us to know?
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