Inquire about booking Sam and adding your event to the speaking tour
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First Name *
Last Name *
Direct Email Address *
Direct Phone Number *
Are you from a... *
How did you hear about this initiative?  *
The name of your school/association/organization *
Is your team open-minded to trying new things? *
Has your school/association/organization invested in speakers previously? Who? *
(Please list the best 1-3 speakers on the "other" line)
Required
What is your stance on whether or not pineapples belong on pizza? *
(Answer carefully...this may disqualify your school)
Which of the following areas has your team, staff, students or members expressed concerns around: *
Please check all that apply
Required
Are you ready to make a decision to make good stuff happen at your school/association/organization? *
What city is your school/association/organization located in? *
Can you personally influence 2-4 nearby schools to participate? (If you're a school)  *
Who is your fav music artist?
*
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