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Speaker /Workshop Inquiry
Your Name :
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Organization Name:
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Website: (If Applicable)
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Email :
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Contact Number:
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What is the Name of Your Event?
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How were you referred ?
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Please Provide The Event Date or Potential Date.
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If the event is not yet set in stone, please provide, a few date options:
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What topics are you seeking Ms. Radcliffe to speak on?
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Describe your potential audience for the event ( Age, Interests, Entrepreneurs , etc)
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Please upload your event flyer if you have one
How Many Attendees Are You Expecting?
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0-100
100-500
500-1000
1000+
Are You Charging Your Attendees?
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Yes
No
No
If so, what are the ticket ranges?
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What is Your Budget For A Speaker?
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Are You Interested In Providing Books To Your Attendees?
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Yes
No
Can you provide accommodations for a speaker if travel is needed ( Flight, hotel, etc) if these expenses are not included in the speaker budget ?
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