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Speaking Inquiry Form
Interested in booking me for a speaking engagement? Please fill out the form below, and I'll be in touch with you!
Speaker Information Sheet
Full Name *
Email Address *
Event Name & Organization *
Dates & Location (If In-Person) *
Virtual
In Person
To Be Determined
Virtual or In Person? *
Workshop
Keynote
Panel
Other
To Be Determined
Type of Talk *
The ERA Journey: From Breakdown to Breakthrough to Brilliance
You Are Here: A Self Positioning System to Help You Live the Life You Actually Want
The Philetic Path: A Journey Back to Your Power, Purpose, and Presence
Let’s Rise (Workshop or Keynote)
Custom Request
Which Topic Are You Interested In? *
Tell Me a Bit About Your Audience (Tone, Size, Theme, Etc.) *
Budget or Honorarium Range
Anything Else You'd Like Me to Know?
