Speaking Inquiry Form
Thank you for considering Dr. Chanequa Walker-Barnes as a speaker or presenter for your event. If you would like to book Dr. Chanequa as a speaker at your next conference or event, please fill out the form below. This form is required for all speaking requests. For all media (television, print and radio) inquiries, use the Contact page.
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Email *
Main Contact Name *
Main Contact Email *
Sponsoring Organization/Church/University *
Organization Type *
Main Contact Phone Number *
Date(s) of Event *
Location: Where will your event be held? (Please include a link to the venue if available). *
What is the purpose of the event/conference? What do you hope to see happen for attendees? *
What theme(s) would you like Dr. Chanequa to teach/speak on?
*
Which of the following activities would you like Dr. Chanequa to do? (You may choose more than one). *
Required
How many minutes total will Dr. Chanequa speak/present? *
Other Requested Activities (additional fees may apply)
What is the anticipated size of the audience? *
What are the demographics for the audience? *
(e.g., college, seminary, adults, clergy, executives, ethnicity, religious affiliation)
What will be covered by your organization? *
Required
If only honorarium is checked above, are you requesting an all-inclusive speaker's fee?
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What is your budget for a speaker? *
Will you arrange for Dr. Chanequa's books to be sold at the event? You may do this by inviting a local book store to manage sales or by ordering books directly from the publishers or an online vendor. (Note: Dr. Chanequa does not sell books at events; this is the responsibility of the host)
*
What is your deadline for having a decision?
Additional Details/Comments
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