* Client:
*
Email Address:
*Phone
number to reach you at:
*
Hotel where I'll
be staying:
*
How far is my hotel
/ airport from the event?:
*
Will
I be picked up at the airport?:
If so, by whom?:
*
Why did you select
me as the speaker?:
Conference Theme:
*
What is your speaker
budget?
*
Desired
Outcomes / specific objectives:
Are
there sensitive issues to be avoided or specifically
addressed?:
*
Format
of my presentation:
*
How long am I to
speak?:
*
Exact time of
my presentation(s)?:
*
Will there be
a coffee break?:
*
Number of attendees
(estimated):
*
Group
Demographics
*
Will
you duplicate my handouts for the program?:
* Would you like to discuss purchasing
any of my products for each audience
member?:
*
May I sell product?:
If so, do you expect
a percentage? How much?:
Do you tape the program?:
*
May I tape the
program?:
*
Do you cover expenses?:
*
Do you pay a fee
or honorarium?:
Do I make my own
travel arrangements or do you?:
Is my hotel put on
your master account or will I be responsible
for providing a credit card upon arrival
to cover it?:
