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Home
Start Here
About
Career
Digital Strategy & Design
Level Up
Work It
Zanetta Davis – Speaker
Culture
Books
Music
Politics
TV & Movies
Life
Inspiration
Parenting
Relationships
Travel
Wellness
Speaking Engagement Form
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Name
*
First
Last
Email
*
Phone
*
Business Name
*
Occupation/Title
*
Website
Event Name
*
Event City. State
*
Event Date
*
MM/DD/YYYY
Event Time
*
hh:mm a/p
Expected number of attendees
*
What type of engagement are you requesting?
*
Keynote Speaker
Workshop Facilitator
Panelist
Mistress of Ceremony
Other
What length of time is requested for presentation?
*
Time in minutes
Is visual setup available for presentation? (Y/N)
*
Will there be an event photographer? (Y/N)
*
Speaker Budget or Honorarium Offered? (Y/N)
*
How will you market the event?
Social Media
Company Website
Printed Promotional Materials
Other
Any additional information about the event?
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