Book a Speaking Engagement

Date of First Presentation *

MM

DD

YYYY

Date of Final Presentation *

MM

DD

YYYY

Event location *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Resource Availability *

Please select all of the resources that will be available at the venue.

Presentation Screens

Wireless Internet

Speaker Controlled Visuals (i.e. PowerPoint)

Wireless Microphone(s)

Countryman Microphone

DVD/Video Projection

On Stage HDMI/VGA Connection

Auxiliary Input

None of the Above

Name of Designated Contact Person *

First Name

Last Name

Phone *

Phone number of designated contact person.

(###)

###

####

Travel Expenses *

Please select all travel expenses being covered.

Airfare/mileage

Airport parking fees

Lodging

Meals

All of the above