Speaker Contact Form

Date*
Month
Day
Year
Name*
First Last
City & State*
City State / Province / Region
Phone*
Email*
If you have a website, what is the URL?
If you don't have a speaking website, please give us details about your topic(s).*
How many years, if any, have you been speaking professionally?*
What is your full fee?*
On average, how many paid presentations do you make each month?*
In the last 18 months, approximately how many of your presentations were on-site and how many were virtual?*
If you don't speak professionally, tell us when and where you do speak.
If you aren't currently speaking professionally, what are your goals for your speaking career?
Before we talk, what else should we know about you and your speaking career/goals?*
If you would like to be considered for our commission-only service please tell us when you separated from the military or your agency.
We will consider working on a commission-only basis for retired military and/or retired first responders.
After looking through the services we offer, which service(s) are you interested in?*
Choose as many as you would like
- Retainer/Management
- By Invitation - Military / First Responder only
- New Speaker Development
- Projects
- Consulting
- Publishing Support
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