Vanessa Miller - Speaker Request Form
I am delighted for the opportunity to speak at your upcoming event. Please fill out the form, and I will be in touch.
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Email *
First Name
Last Name
Are you the organizer or a staff member of the upcoming event?
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When does the event take place?
MM
/
DD
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YYYY
At what time does the event start?
Time
:
At what time does the event end?
Time
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What is the name of the event?
Will the event take place virtually or in person? 
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If the event is offline, please specify the location of the venue
How many attendees do you expect at the event?
There is no minimum nor maximum!
What type of event is it?
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Is there an honorarium for this event? This is NOT a requirement for acceptance.
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What are the challenges or triumphs your attendees would like to hear about at your event?
If the event is not taking place online, what commodities can you facilitate if I accept your invitation?

If travel and hotel accommodations are required, I kindly request that the hosting organization provides these arrangements. Thank you for your consideration.

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Is there anything else you'd like me to know?
That's it! [additional text]
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