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Speaking Engagement Retention and Booking Request
This form is to request the speaking, training and/or facilitation services of Mrs. Angie McDonald - CEO of iAM Consulting LLC and Wounded2Wonderful Coaching LLC.
Please fill this form out completely to ensure an accurate Quote. Thank you!
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* Indicates required question
Email
*
Your email
Requesting Organization or Authorized Rep.'s Name
*
Your answer
Organization Mission Type (Choose all that apply)
*
Faith Based Org.
Non-Profit Community Org.
Corporation
School / College / University
Other
Required
Contact Name
*
Your answer
Contact Title
*
Your answer
Phone Number (format: 000-000-0000)
*
Your answer
Type of Request
*
Keynote Speaker
Panelist
Panel Facilitator
Event Host - Mistress of Ceremonies
Welcome/Closing Remarks
Talking Points
Other:
Other Speakers at Event
Your answer
Date of Event
*
MM
/
DD
/
YYYY
Time of Event
*
Time
:
AM
PM
Location of Event (full address, include Name of Venue, Suite #, Phone # if applicable)
*
Your answer
Potential Audience Size
*
25 or Less
26-50
51-75
76-100
100+
Other
Subject or Main Focus of Talk or Event
*
Transitional Empowerment
Grief and Loss Empowerment
Spiritual Journey
Professional Clarity
Self-Discovery and Accountability
Forgiveness
Other:
Audience Type: Community Leaders, Clergy, Policymakers, Higher Education, Community Citizens, Parishioners, Students, Clients of Org., Etc.? (mention all that apply)
*
Your answer
Allotted Time for Speaking Engagement
*
Your answer
Anything Else I Should Know Prior to Event?
*
Your answer
Send me a copy of my responses.
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