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Speaking Engagement Booking Form
Please complete booking form below for consideration of Nkechi Taifa for virtual and in-person engagements. You will be contacted to discuss availability, details and fee. If you do not hear back within a reasonable period of time, please leave a message at
www.nkechitaifa.com/contact
.
Please visit
Taifa's official full service Booking Agency
or you may choose to complete form below.
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Email
*
Your email
Name of Sponsoring Organization
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Your answer
Type of Sponsor
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Corporate
Government
Academia
Foundation
Celebrity Influencer
Non-Profit
Community Organization
Other:
Required
Event Name
*
Your answer
Event Description
Your answer
Event Date/s
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Speaker's Start Time & End Time, Time Zone
Your answer
Event Date is
Fixed
Flexible
Clear selection
How long is speaker’s presentation to be?
*
Your answer
What is the speaker inquiry request for?
*
Keynote Speaker
Guest Speaker
Moderator
Panelist
Workshop Facilitator
Advisor
Other:
Required
What is the context of the event?
*
Conference
Meeting
Briefing
Gala
Retreat
Professional Development
Commencement
Other:
Required
Describe the theme to be addressed by Speaker
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Is presentation to be:
In-Person
Pre-recorded
Virtual
If virtual, which platform? (Zoom, Sched, Webinarjam, HopIn, etc...)
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If live, which city, state?
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Approximate number of attendees expected?
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Other major speakers/officials expected
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Demographics (Race, Gender, Age Range, Professionals, Activists/Organizers, Directly Impacted, Students, etc...)
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Contact info
Principal Organizer's First & Last Name
Your answer
Direct Contact Person's First & Last Name
*
Your answer
Direct Contact Person Title
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E-mail
*
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Phone number
*
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Additional Information
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