Speaking Inquiries

SPEAKING INQUIRIES

Organization *

* Indicates required field

Organizer Name *

First

Last

Organizer Email *

Organizer Phone Number *

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

What is the desired focus of Dr. Peoples' remarks or presentation? *

For the Presentation? *

Less than $1000 $1000 - $2500 $2500 - $5000 $5000 +

For Travel Expenses? *

*

Submit

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