Mailing Address

Date and Time of Event

Event Location (city, state, and hotel/venue)

Length of Presentation Time (in minutes)

Multiple Presentations Needed?

Audience Size

Describe the audience. What do they do? What are their challenges? What do they want to learn/take away from this session?

A/V equipment available? What type?

Will you film the event? (If so, may we request a copy? If not may we record?)

Internet access available?

Vendor table available for book/product sales?

Interested in purchasing books for audience?

What is your budget for this presentation?

What are the guidelines for travel budget and arrangements? Should I book the travel or will your company handle that?

Onsite event contact name and cell phone number?

Other Notes