Speaking Inquiry
About Your Organization
Organization Name
*
Type of Organization
*
Organization Website
Contact Person
*
Contact Email
*
Verify Email
*
Event Details
Event Name
*
Event Type
*
Conference (Multiple Speakers)
Forum
Fundraiser
Keynote Speaker
Recurring Meeting
Seminar
Special Event
Teaching
Other
Requested Topic
*
Format
Fundraiser
Panel
Panel with Q&A
Speech Only
Speech with Q&A
Other (explain below)
Speech Time
*
Other Speaker(s)
Date(s) Of Event
*
Location
*
Response Needed By
*
Event Logistics
Speaker
*
Professor Jon Wilson, PhD
Mohamed Geraldez, MBA
Both
Travel Expenses Covered
*
Honorarium Amount
*
Event Promoted Online
Yes
No
Website Address(es)
Other Details
*
