Dr. Justin Key Booking Request
Thank you for considering Dr. Justin Key as a speaker for your upcoming event. We are enthusiastic about the possibility of collaborating with you and are keen to learn more about your event's specifics.
To ensure we can tailor our approach to best suit your needs, please provide us with the following details about your event.

**It is important to note that Justin is committed to challenging the norm of unpaid labor, mainly as it affects Black individuals and other people of color. In line with this commitment, he cannot accept unpaid speaking engagements. We appreciate your understanding and support in this matter.
Sign in to Google to save your progress. Learn more
Email *
Name and Title of Person of Contact
 *
Phone
Name of Organization *
Organization Website
Event Date *
MM
/
DD
/
YYYY
Event Name *
Event Description *
Event Location *
Event Website
Expected Number of Attendees/Participants
Your answer

 *
Event sponsor(s):
Type of Presentation Requested:
 *
Speaking Duration (in minutes)*
 *
Budget for Requested Speaker/Presentation:*
 *
Is Travel and Accommodations Included?
Clear selection
Other Special Requests (check all that apply):
Clear selection
Can Products be Sold at this Event?
Clear selection
Additional Comments/Info About Event: 
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Justin Key. Report Abuse
Google Forms