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Your Contact Information…
Name
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I'd like information about:
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Please select an option from the dropdown menu…
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WORKSHOP – Presentation Skills
COACHING – Executive Speech Coaching
KEYNOTE – "The Message Is You!"
KEYNOTE – "Is Your Jargon Alienating Your Audience?"
KEYNOTE – "How To Survive Caregiving…"
OTHER…
Workshop Details…
Estimated Number of Workshop Attendees
< 6 attendees
6 - 12 attendees
13 - 19 attendees
20+ attendees
Budget for Workshop Facilitation
$2,500-$3,500 - (half day)
$3,750-$5,500 - (full day)
$5,750+ (1.5 days to 2 days)
To be determined…
Coaching Details…
I need coaching for:
an upcoming Speech or Keynote
mc'ing an Event
speaking to the Media
giving a Professional Introduction
an Occasion (wedding, funeral, anniversary, etc.)
general improvement in my speaking abilities
How soon do you need coaching?
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Immediately
Within the next 2 weeks
Within 30 days
Within 60 days
There's no rush
About Your Event…
Event Title
Event Date(s)
Location (City & State)
Estimated Audience Size
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< 100 attendees
100 - 500 attendees
500 - 1,000 attendees
1,000 - 5,000 attendees
5,000+ attendees
Budget for Speaking Fees
Comments / Questions
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