Napa's Speaking Engagement Form

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Thank you for considering Napa, as a speaker/ facilitator for your upcoming event. We are excited to contribute to the success of your program and deliver value to your audience.

To help us better understand your event's needs and expectations, please take a few minutes to complete this form.

We strive to respond to all inquiries within 48 hours. Before proceeding, kindly review Napa's Speaker Rider and confirm your agreement.

Email *

Event Name *

Event Date *

If your event spans multiple days, please specify the particular date you would like Napa to participate

YYYY

Session Time *

State the specific time Napa is expected to speak or participate on the event day.

Time

Duration of Speaking Slot *

What's the expected duration of Napa's session?

Event Type *

In-Person

Virtual

Other:

Event Location

For in-person events, kindly provide the address where the event will take place (specify the city and country).

For virtual events, specify the conference call platform to be used.

Event Theme

Topic

What's the topic you're considering for Napa's session?

Speaking Engagement Format *

Keynote Speech

Masterclass/ Workshop

Panelist

Fireside Chat

Moderate a Panel

Other:

Event Audience *

Choose the group that best represents the target audience for your event.

Entrepreneurs (Startup Founders and Business Owners)

C-Suite Execs

Young and Mid-Level Professionals

Students

Venture Partners

Government Stakeholders

Sales Professional

Other:

Required

Speaking Fee

Please select your approximate speaker engagement budget.

$300 or less

$500 or less

$500 - $1,000

$1,000 - $2,000

$2,000 and above

Not Applicable

Other:

Clear selection

Logistics, Travel, and Hospitality

For events outside Lagos, Nigeria, in addition to the booking fee, would you be covering other expenses for travel, accommodation, & welfare? Select the applicable option below:

We’ll cover all expenses

We’ll cover travel only

We’ll cover travel and accommodation only but not welfare

Not applicable

Other:

Clear selection

Payment Options

What’s your preferred payment structure?

70% due upon accepting this speaking engagement and 30% due after event completion

100% due upon accepting this speaking engagement

Not applicable

Other:

Clear selection

Any other details Napa should know?
*

Your Full Name
*

Your Organisation's Name
*

Your Email Address
*

Your Phone Number (please include country code)
*

A copy of your responses will be emailed to the address you provided.

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