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Booking
Please complete the following information to Book Dr. Anthony "MISTER B" Broughton.
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Email
*
Your email
Name of School/Agency/Orgnization
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Contact Person
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Phone Number
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Preferred Method of Contact
Phone
E-mail
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Type of Service Requested
Inspirational Speaking/Keynote
Professional Development/Training
Virtual Training
MISTER B Appearance/Performance
Virtual MISTER B classroom visit
Children’s graduation
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Purpose of Event
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Event Date
MM
/
DD
/
YYYY
Event Date (option 2)
MM
/
DD
/
YYYY
If this is for a training, what are your specific training needs? (Topics, focus areas)
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Honorarium/Budget for MiSTER B
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Address of the event
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Additional Information
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