http://
First Date Speaker Presents *
First Date Speaker Presents
Last Date Speaker Presents (if applicable)
Last Date Speaker Presents (if applicable)
Contracted Organization
Address *
Address
Phone
Phone
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Authorized person signing the contract
Name of Person Signing the Contract *
Name of Person Signing the Contract
Office Phone
Office Phone
Mobile Phone
Mobile Phone
Primary Contact (If different from the person signing the contract)
Cell Phone for Primary Contact:
Cell Phone for Primary Contact:
Venue
Address of Venue
Address of Venue
Phone of Venue
Phone of Venue
http://
Event Details
Please provide a detailed schedule, including start time for each speaking session, length of time speaker speaks in each session, and other details i.e Q&A's, meet and greet, etc.}.
Expenses are in addition to the honorarium amount. Expenses include flights or mileage, ground transportation, hotel, and meal per diem.
Does the buyer request a book signing?
Please include audience size, age, gender demographics, and any other pertinent information that would be helpful to the speaker.