Speaker Request for Candace Tuck  
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Email *
Request for *
Event Name *
Event Date *
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Time of the event *
City & State of Event *
Where will this event take place? *
Is this a ticketed/registration required event? *
Number of Attendees Expected *
Budget: What are you proposing to offer Candace as an speaker fee? *
Accommodations: What have you planned for travel, transportation and overnight stay? Note: Travel requirements include first class air and overnight accommodations.  *
Please explain your event's purpose and vision. Please be detailed. (200 words or less) *
Audience: Please share demographic information on expected attendees. *
What capacity/role would you like for Candace/Remon to participate? *
How long and what time will you need Candace to speak? *
Will this event be recorded? NOTE: If recorded, do you agree to provide a copy of the recording to Candace. *
Will a professional videographer and/or photographer be present? *
If Candace accepts, we will provide a professional high-res head shot, and written/read-it bio for marketing purposes. We do not approve nor authorize any likeness to Candace photos, videos or content from the public domain (i.e. internet, social media pages, web pages, etc.) Do you agree to honor our request? *
If this is a relationship event, would you like Remon Tuck as well?
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Contact person name *
Contact person email *
Contact person number *
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