Speaker Booking Form

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Speaker Booking Form

Thank you for your interest in booking Sigrid Nikkea Jones, LPC-S, NCC.

Please complete this form in its entirety.

Someone from Simply Candid PLLC will contact you within 48 hours to discuss your booking request.

Organization Name and Contact Person *

Phone Number *

Email Address *

Tell us about your event *

What dates are you requesting? *

What times will you need for your event? *

Full Address of the Event *

What is the purpose of your event? *

Expected Number of Attendees *

What is your Speaker Budget? *

$1000 - $750

$750 - $500

$500 - $250

Other:

How would you like Nikkea to contribute to your event? *

Keynote Speaker

Teach Loveology 101 Relationship Series

Come to Our Speakeasy Location

Other:

Required

How Long Will You Need Nikkea to Speak? *

I understand the following topics in the Loveology 101 Relationship Series includes: Psychological Facts about Sex and Love, Self Love Techniques, What is Emotional Maturity?, and Attachments Styles in Adult Relationships. *

Yes, these are the only topics we want for our event

Yes we want these topics AND we want additional topics

I would like to remove one of the topics

What additional topics would you like to add?

Other:

Will Nikkea be able to promote any of her other services? i.e. therapy and consulting business *

Yes

Will Travel and Lodging Accommodations be Needed? Please keep in mind that Nikkea is located in Fort Worth, Texas. *

Yes

We are requesting a consult regarding travel and lodging accommodations

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