Speaker Request Form - Mark Bünger
Thank you so much for your interests in booking a keynote with Mark Bünger,

My name is Fabian Teller, I am the executive assistant for Mark Bünger regarding all his speaking engagements.  To help us understand your needs, please tell us more about your event below.    

My email is assistant@futurity.systems if you need to any assistant
Email *
Contact Person *
Company / Organization
(please specify if you are a non-profit organization or an education organization) *
Name of the event *
Location of the event
(for-in person event, or please write online otherwise) *
Date of the engagement *
MM
/
DD
/
YYYY
Website
Is this event open to the public?  
Or is it an internal event for a company?
 *
What would be my participation?  
(If you would like multiple engagements during the same event, please select all that applies)
 *
Required
Are the following expenses covered? 
(Please check all that applies)
 *
Required
If there is an honorarium, please share the budget you have in mind. 
(please write "terms negotiable" if there is no set budget)
 *
Which of these topics are you interested?
What are the expectations of Mark's engagement?
(Check all that applies)
When do you need a confirmation by?
MM
/
DD
/
YYYY
Anything else you would like us to know?
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