PLEASE READ BEFORE PROCEEDING: Filling out this form means you are making an official offer to book the Speaker/Artist of your choice. You should begin this process only if you are ready to proceed with a contract to secure a Speaker.

Once we receive your offer form, we will present it to the Speaker for consideration. If the Speaker accepts the offer, we will send you a contract for review and signature. If the Speaker declines to accept the offer, we will contact you with either negotiating points or the Speakers response. Please note that while we always strive to get you a response as quickly as possible, a reply can take 7 - 10 business days in most cases. THANK YOU!

Choose Speaker/Artist

Name of Event (if applicable)

Event Format

Event Website (If applicable)

http://

First Date Speaker/Artist Presents

YYYY

Last Date SpeakerArtist Presents (if applicable)

YYYY

Contracted Organization

Name of Contracted Organization

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

Organization's Website

http://

Authorized person signing the contract

Name of Person Signing the Contract

First Name

Last Name

Job Title

Office Phone

Country

(###)

###

####

Mobile Phone

Country

(###)

###

####

Primary Contact (If different from the person signing the contract)

Name of Primary Contact (If different from the person signing the contract)

Email of Primary Contact

Cell Phone for Primary Contact:

(###)

###

####

Venue (If different than Contracting Organization)

Name of Venue

Number of seats in venue

Address of Venue

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone of Venue

Country

(###)

###

####

Venue Website

http://

Event Details

Event Theme (if applicable)

Number of Times You Are Requesting the Speaker to Speak (if applicable)

Starting Time For Each Session

Length of Presentation

If you are booking a speaker, how long are you requesting the speaker to speak in each session? Please note if the time length includes Q&A or if Q&A is additional.

Honorarium Amount

Expenses are in addition to the honorarium amount. Expenses include flights or mileage, ground transportation, hotel, and meal per diem.

Proposed ticket price (if applicable)

Backend percentage to Speaker/Artist (if applicable)

Do you request a book /product signing?

Yes

Audience Profile

Please include audience size, age, gender demographics, and any other pertinent information that would be helpful to the speaker.

What airport should the Speaker/Artist fly into?

What is the travel time from the airport to the hotel/venue?