Who would you like to book?

Author/Artist

PLEASE TELL US ABOUT YOURSELF

Name

First Name

Last Name

Title/Position With Organization

Title/Position

Name of Organization

Website of Organization/Buyer/Conference:

http://

PLEASE DESCRIBE YOUR EVENT

Event Format

Name/Title of Event

Starting Date of Your Event

YYYY

Ending Date of Your Event

YYYY

Briefly describe your event:

Address of Sponsoring Organization

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

WHAT IS THE BEST WAY FOR US TO CONTACT YOU?

Office Phone

Country

(###)

###

####

Mobile Phone

Country

(###)

###

####

NEEDED INFORMATION ABOUT THE VENUE

Name of Venue

Address of Venue

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Anticipated Audience Size

Anticipated Age Demographic of Audience

Website for Venue

http://

How many days commitment do you anticipate from the speaker/artist?

How many times do you anticipate them speaking/performing?

Type of Presentation that best describes your expectation of the speaker/artists:

Please supply any other details that would be useful for the speaker/artists in considering your event: