Company/Organization *

Name of workshop, seminar, or speaking event *

Address/Location of the event *

Will travel accommodations be needed? Please be advised that Linda is in Detroit, MI *

Yes

No

N/A

Is meeting date fixed or tentative? *

Fixed

Tentative

Specific content to be covered? *

Event sponsor(s) *

Expected number of attendees *

Will Media Be Invited? If so, Please Provide the Media List *

What is your speakers budget? (Include exact $ amount or range) *

How long will you need Linda to speak?

Will this speech be followed by a Q&A session? *

Yes

No

Will Linda be allowed to promote her products/services?

Yes

No

Let's Discuss

Deadline for acceptance (Please provide exact date) *

Any additional information you would like for Linda to know or consider? *

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