Guest Speaker, Host, Panelist Inquiry Form
Thank you for your interest in having our founder Denisha Jenkins speak at your event. Please fill out the form below, and we will be in contact with you shortly.

If you are looking to contact Kardia Advisory Group about matters other than a speaking engagement, please visit our Contact Us page ( https://www.kardiaaustin.com/contact )
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Email *
Organization
Event Point of Contact First and Last Name *
Contact Person's Title/Role
Contact's Email
Contact's Phone Number
Event Title or Theme
Audience demographic and/or details
Link to event registration page or website
Date of event
MM
/
DD
/
YYYY
Time of event?
Time
:
Location?
Is this date flexible? *
Is this a private or public event? *
Is this a free or payment required event? *
Media and marketing details - Select all that apply
What is your speaker budget/compensation offer? *
Type of Speaker Opportunity
Clear selection
What topic or theme do you want us to address?
Submit
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