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Contact Name
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Email Address
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Phone
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Is this an event or podcast inquiry?
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Event
Podcast
Other:
What type of engegement is it?
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In-Person
Virtual
Other:
Type of organization
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School
Workshop/Conference
Faith-Based
Corporate
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Event or Podcast Name
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Event Venue
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Venue Address (Please include nearest airport)
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Date of Event
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YYYY
Event or Podcast Description
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Topic choice for presentation
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What is the requested presentation time?
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Number of attendees expected
50-100
100-250
250-500
500-1000
1000+
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Will this event be open to the public or private?
Public
Private
Other:
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Will tickets be sold to the event?
Yes
No
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Do you plan to record or live stream the event?
Yes
No
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Can products be sold at the event?
Yes
No
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What is your budget for Koereyelle's speaking fee?
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$500-$1000
$1,000-$2,500
$,2500-$5,000
$5,000-$10,000
$10,000+
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