Speaking Request
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Email *
Full Name *
Facebook Name and IG handle  *
Phone Number *
Where did you hear about Brittany *
Is this an in-person or virtual event? *
What is your budget for this speaking opportunity? *
How many attendants are you anticipating? *
Select all of the following that apply to your audience? *
Required
What topics are you looking for us to cover during this speaking opportunity? *
How long do you need Dr. Brittany to speak? *
Is Dr. Brittany allowed to offer opportunities to work with her to your audience? Are there any restrictions? *
Will Dr. Brittany receive a copy of the attendee contact info? *
If Dr. Brittany is able to fulfill this opportunity, what would make this a success for your event? *
Is there anything else you would like to add? *
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