Speaking Engagement Request

Thank you for your interest in having Jichél speak at your event!

Please complete the following survey and we’ll respond to your request as soon as possible.

Thank you!

Name

Company

Country

Phone Number

2. Website

Name of Event

Location of Event"

Date of Event

Date Of Event

5. Please provide the length of time you would like Jichél to speak:

6. What would you like attendees to take away from this event?

7. Please describe your audience demographic (i.e. age, geographic region, psychographic profile, etc):

8. What is your speaking budget range?"

9. Is this the first time you are hosting this event?

YES NO

10. If no, how many attendees did you have at the last event?

11. How many attendees are projected to come?

12.Please describe your marketing plan to fill the event:

13.Are you selling products or programs at the event?

YES NO

14. Will we be able to sell our products and programs at the event?

YES NO

15. Event Sponsor

16. Frequency of Event

YOUR BRAND CAN BE IT'S BEST