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Speaking Engagement Form
Thank you for your interest in booking Naomi Garrick to be a speaker at your upcoming event. Please complete this form to submit your enquiry. You will be contacted within 48 hrs of submission.
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Full Name
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First Name
Last Name
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2
Company/Organization
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Type of Company/Organization
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E-mail
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Phone Number
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Area Code
Phone Number
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Event Date
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Month
Year
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7
Back-Up Date
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Day
Month
Year
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8
Event Topic or Theme
Personal & Professional Branding
Online Branding
Getting Discovered On LinkedIn
How To Stand Out In A Noisy World
Other
Personal & Professional Branding
Online Branding
Getting Discovered On LinkedIn
How To Stand Out In A Noisy World
Other
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9
Event Type
Corporate
Conference
Private
Charity
Online Webinar/LIVE
Other
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10
Speaker Format
Key Note (less than 30 mins)
Key Note (less than 1hr)
Workshop
Panel Discussion
Key Note (over an hour)
Panelist
Moderator
Online Panel (less than 1 hr)
Online Webinar - Key Note (less than 1hr)
Other
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11
Event Venue
Please include physical location or online platform
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12
No. of participants
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13
Time of Event
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Hour
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Minutes
AM
PM
PM
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PM
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14
Event Duration
Less than 30 mins
30 - 45 mins
1 hour
Over 1 hour
1/2 Day
Full Day
Less than 30 mins
30 - 45 mins
1 hour
Over 1 hour
1/2 Day
Full Day
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15
Budget Range For Speaker Fee
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16
Will the event/talk be recorded?
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17
Additional Information
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18
Tags
Todo
In Progress
Done
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