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Demi Harper Speaking Form
Request Demi for an upcoming event. Please factor in travel expenses in your budget.
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* Indicates required question
Name
*
Your answer
Email
*
Your answer
Organisation
*
Your answer
Contact number
Your answer
Website (if available)
Your answer
Name of event
*
Your answer
Date of event
*
MM
/
DD
/
YYYY
Location of event
*
Your answer
Time of event (24hr)
*
Time
:
AM
PM
Expected number of attendees
*
Your answer
Nature of talk
*
Panelist
Keynote
Workshop
Other:
Length of talk
*
Your answer
What is the topic?
*
Your answer
Speaker budget
*
Your answer
Additional details
Your answer
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