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Book Coach Niquenya
Need a professional speaker for your upcoming event, gala, panel discussion, webinar, training, etc.? Please complete this form in its entirety and we will respond to your inquiry within 2 business days.
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Contact Name (First & Last)
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Your answer
Email Address
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Your answer
Contact Phone
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Please include best area code and phone number to reach you.
Your answer
Position / Role / Title
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Your answer
Company / Organization
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Your answer
Is this request for a 501(c)3 non-profit organization?
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Yes
No
Scheduled/Anticipated Event Start Date
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Scheduled/Anticipated Event End Date
Not required if a one-day event
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Event Name / Theme / Purpose
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Your answer
Event Description
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Your answer
Target Market
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Please explain who or what type of attendees and guests will be expected
Your answer
Number of Attendees Expected
*
Your answer
Desired Topics
*
Diversity & Inclusion
Leadership Development
Small Business & Entrepreneurship
Nonprofit Development
Transitional Job & Workforce Development
Networking & Relationships
Wealth & Personal Finances
Wellness & Self-Care
General Inspiration & Motivation
Other:
Required
Event Format
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Classroom
Theater
Boardroom
Banquet
Webinar / eLearning
Panel Discussion
Keynote
Emcee / Host
Media Interview (Radio / TV / Podcast)
Other:
Required
Length of Presentation Desired
*
< 1 Hour
1 - 2 Hours
Half Day (up to 4 Hours)
Full Day (4 -8 Hours)
Multiple Days
Other:
Materials Requested
Slideshow Presentation
Presentation Handouts
Customized Workbooks
Other:
Speaker Honorarium / Fee Budget
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Your answer
Included Perks Offered
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Event Registration Revenue Share
Travel & Lodging
Meals & Entertainment
Back-of-the-room Sales
Advertising & PR
Video Recording / Photography
Attendee List
N/A
Other:
Required
Additional Info
Please describe any specific learning objectives desired or other helpful information about this event
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