Request a 1517 Speaker 


Which speaker are you interested in for your event?
EVENT CONTACT INFORMATION
http://
Name *
Name
Phone
Phone
EVENT INFORMATON
Date of the Event *
Date of the Event
Is there a website specifically for your event and are you using a hashtag for promotion?
Actual address of the venue
Please indicate the suggested session schedule for the speaker i.e., how many sessions, time of day.
EVENT AGENDA | THEME
Is there a desired topic or presentation from a particular speaker that you are interested in?
What is the projected attendance for this event?
Please describe the proposed attendee. e.g. age range, men-women-youth, affinity groups, etc.
Is there any sort of suggested dress code for your attendees and speakers?
COST: FEES & EXPENSES
There are certain expenses that must be cared for when one of our speakers travels. Included, but not limited to are the airfare, ground transport, local hotel lodging, and meals. We are appreciative of your understanding that these must be covered in addition to the speaker fee. A schedule of these fees is available upon request.
Are you working with a budget?
$
RESOURCES
Our speakers would appreciate the opportunity to make available some of their resources to your attendees. This can take shape in several ways. Please indicate which avenue best suits your event.
Book Signing Event
Our authors are delighted to sign books should that be desired.
Tech Requirements
AUDIO | VISUAL NEEDS
A wireless headset or lapel mic is preferred, but either a handheld or podium microphone will work also. Please have a podium or lectern on stage for the speaker to use along with a bottle of water.
Visual Media
Is the venue equipped with visual media capability? AV staff?
You are welcome to record the presentation our speaker gives. We would ask for a copy or a link to the posted media.