Invite Steen Rasmussen
Sign in to Google to save your progress. Learn more
Your Name
Event Name
Country and City.
The event is 
Clear selection
Primary Speaking Engagement Type
Clear selection
Is the date already set?
Clear selection
Earliest date you'd like Steen to speak

MM
/
DD
/
YYYY
Latest date you'd like Steen to speak
MM
/
DD
/
YYYY
How many other speakers at the event? If applicable, what is the biggest name booked?  (Optional)
Topic keyword(s) you'd like Steen to speak about?
Link to the event (if applicable).
What travel budget are you willing to provide?
What are you offering in terms of speaker fees?
Which email would you like to be contacted at?
Thanks!  Anything else you would like us to know ?
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Adnoctum Aps.

Does this form look suspicious? Report