Home
About
Services
Functional Psychiatry
Therapy
Wellness Coaching
Contact
FAQs
PORTAL
Resources
Education
Book Dr. Reba
Speaking Inquiries
SPEAKING INQUIRIES
Organization
*
*
Indicates required field
Organizer Name
*
First
Last
Organizer Email
*
Organizer Phone Number
*
EVENT DETAILS
Title of Event
*
Date
*
Time
*
Location of Event
*
Event Theme
*
Expected Size of Audience
*
Amount of Time Allotted
*
In what capacity will Dr. Peoples present?
*
Keynote
Moderator
Panelist
Workshop Facilitator
Other
Expected setting?
*
Formal
Semi-Formal
Business Casual
Casual
DESIRED TOPICS
What is the desired focus of Dr. Peoples' remarks or presentation?
*
WHAT IS YOUR BUDGET?
For the Presentation?
*
Less than $1000
$1000 - $2500
$2500 - $5000
$5000 +
For Travel Expenses?
*
HOW DID YOU HEAR ABOUT DR PEOPLES?
*
Submit
Home
About
Services
Functional Psychiatry
Therapy
Wellness Coaching
Contact
FAQs
PORTAL
Resources
Education
Book Dr. Reba
Speaking Inquiries
