JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Speaking Requests
Thanks for contacting Simone Vincenzi to speak at your next event!
Before we can confirm the booking please fill up the questionnaire below so we can have more information.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Name
*
Your answer
Surname
*
Your answer
Email
*
Your answer
Phone Number
*
Your answer
What is your role in relation to the event?
Your answer
Background Of The Organisation (with website and social media links)
*
Your answer
Start Date
*
MM
/
DD
/
YYYY
End Date
*
MM
/
DD
/
YYYY
Please specify the timings you expect Simone to be available
*
Your answer
Address For The Event
*
Your answer
Please give a brief description of your event (please provide website and social media links of past events)
*
Your answer
Who is the target audience?
*
Your answer
What are your objectives for the event?
*
Your answer
Number Of Attendees Expected (Please give a realistic one)
*
Your answer
Is Simone going to be the main speaker of the event or are there going to be other speakers?
*
Simone is going to be the only speaker
There are going to be other speakers
If there are going to be other speakers? Who are they and what are their topics going to be?
Your answer
What is your budget for hiring Simone?
*
Your answer
What else do we need to know about the event that was not asked in this booking form?
*
Your answer
Send me a copy of my responses.
Submit
Page 1 of 1
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms