Dr. Maddie Ofina - Speaking Request 
Are you interested in having Dr. Maddie Ofina at your next event.?
Please complete the form below and we will get in touch with you. 
Sign in to Google to save your progress. Learn more
First Name *
Last Name *
Contact Number *
Contact Email Address *
Organization Name *
Event Name 
Event Date  *
MM
/
DD
/
YYYY
Type of Event *
Requested Service *
Location of In-Person Event
Requested Speaking Topic  *
Required
Expected Length of Talk *
Expected size of event (Number of Attendees) *
What would make this event a success? *
What is your budget for this event?  *
Will your organization cover event expenses? (travel, ground transport, lodging) *
Will the event be professionally photographed or filmed? *
Will the speaker receive a copy of the professional photographs and video of their talk for their own use? *
Will the Speaker's Talk be repurposed and sold by your organization or company at a later date?  *
How were you made aware of my work?  *
Any additional questions or details that we should know? *
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy