Hire me to speak at your event

I welcome the opportunity to share my ideas and experiences with a broader audience. To help me make the most informed decision about your request to speak at your event, please fill out the speaking request form here. If you have a general question, please use this form instead.

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Speaking Request Form

Organization or company name

Event name *

Event Date

MM

DD

YYYY

Event location

Wil this event be virtual or in-person?

Virtual event

In-Person event

Event description

Event website

http://

Who will make up the audience?

Audience size

What type of speaking engagement?

Keynote

Panel

Moderator

Fireside Chat

Workshop

What topic or subject are you interested in hearing about from me? *

What is your budget? *

Contact name *

First Name

Last Name

Contact email *

Contact phone *

(###)

###

####

When is your deadline to hear back from me? *

MM

DD

YYYY