Simplified SEO Consulting Speaker Request

Fields marked with an * are required. If you would like Jessica and/or Danica to take part in your event, please fill in your details in this Speakers Request Form below and you will be contacted by a member of our team. Please allow 2-3 business days for us to review your request. If you have an event that is less than 4 weeks away, please email our Administrative Team directly at Contact@simplifiedseoconsulting.com to see if we can accommodate your request.

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Email *
Event Organizer
Name of Organization Submitting Proposal
Event Sponsor(s)
Event Coordinator Information
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Name
Email *
Title
Phone Number *
Message (consider providing as much information as possible for us to understand the nature of your request)
Event Date
MM
/
DD
/
YYYY
Start Time
Time
:
Event Type *
Budget For The Event 
 *
Presentation/Speech Details
What would you like us to focus on? *
Would you like Jessica, Danica, or both to speak?
Clear selection
Presentation Format
 *
Expected Duration (hours, days)
Question & Answer (Will the speech be followed by a Q & A session?)
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Are CEs needed?
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Audience Details
Approximate Size of Audience, Briefly describe its makeup and if membership is required to attend.
Honorable Guest(s): Lists names + titles of members of prominence, VIPs, participating in or attending the event.
Media: Will media be invited? If so, will the event be open or closed press? Also, describe and submit the media list.
Deadline for Acceptance
MM
/
DD
/
YYYY
Cost of Attendance: Please include member and non-member price, if applicable.
What is your proposed compensation rate for this speaking engagement?
Additional Information
Thank you for your interest! We will contact you soon.
Please be sure to click "Submit" to ensure your form is received.
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