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Inquiry for Speaking Engagements or Event Participation
First name
Last name
Host Organization
Phone Number
Event Name
Event/Organization WebsiteIf available
Description of requestPlease include type of event, topic requested, description of audience, other speakers involved, any additional information.
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IN-PERSON – The event will have this format (select one):
VIRTUAL – The event will have this format (select one):
Is there an honorarium budgeted?
If you selected other event format, please specify:
Additional helpful information or questions
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Commentsmore details
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