Crystal C-Anthony Speaking Request

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Thank you for your interest in having Crystal speak at your event!

Please complete the following survey and we'll respond to your request as soon as possible.

Thank you!

Name: *

First and last name

Company: *

Country: *

Email Address: *

Phone Number: *

Website: *

Name of event: *

Location of event: *

Date of event: *

Please describe the event: *

Please provide the length of time you would like Crystal to speak: *

What would you like attendees to take away from this event? *

Please describe your audience demographic (i.e. age, geographic region, psychographic profile, etc): *

What is your speaking budget range? *

Is this the first time you are hosting this event?

Yes

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If no, how many attendees did you have at the last event?

How many attendees are projected to come? *

Please describe your marketing plan to fill the event: *

Are you selling products or programs at the event? *

Yes

Will we be able to sell our products and programs at the event? *

Yes

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