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Nakia L. Roberson Booking Request
Available for Corporate and Professional Events
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* Indicates required question
First & Last Name
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First and last name
Your answer
Company/Organization
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Your answer
Email
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Your answer
Phone Number
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Your answer
Company/Organization Status
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Non-Profit
For Profit
Name of Event
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Your answer
Address/Location of Event
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Your answer
Date of Event
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MM
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DD
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YYYY
Type and Goal of the Event
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Your answer
Expected Number of Attendees
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Your answer
Cost of event admission?
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Your answer
What is the speaker slot time interval?
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Your answer
Will speaking slot be followed by Q & A Session?
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Yes
No
It's up to me
What is your speaker budget? (include exact $ amount or range)
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Your answer
How can Nakia contribute to your event?
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Keynote Speaker
Panelist
Workshop Facilitator
Trainer
Host/MC
Other
Required
Nakia is located in Houston, TX, will travel accommodations be needed?
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Yes
No
We would like to discuss further details
Will Nakia be allowed to promote any of her products/services?
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Yes
No
We need more information about your products and services
Will Nakia be allowed to bring her photographer/videographer?
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Yes
No
Let's talk futher
Presentation/Speech Topic Preferred (ex... Faith, Spirituality and Mental Health, Grief and Trauma, Self-Love, Relationships etc..)
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Your answer
Please list any event sponsors
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Your answer
Will there be media present? If so, please provide list of all media outlets?
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Your answer
Any additional information you would like to provide?
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Your answer
Deadline for response
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MM
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DD
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YYYY
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