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How to Book a Speaking Engagement with Dr. Andrew Colyer
Thank you for your interest in booking Dr. Andrew Colyer.
Please fill in the information below.
Contact Information
Your Name
*
Title:
*
Company / Organization:
*
Brief Description of Your Company:
*
Email Address
*
Address 1
*
Address 2
City
*
State / Province:
*
Zip / Postal Code:
*
Country:
*
Primary Phone:
*
Primary Phone Number is:
*
Cell
Work
Home
Secondary Phone:
Secondary Phone Number is:
Cell
Work
Home
Fax:
Website(s):
Best time for our office to reach you:
*
Monday through Friday, during normal business hours
Evenings
Weekends
Cut-off date to book speaker:
The Event
Event Title:
Event Description:
Event Start / Check-in Date:
+
Event Ending / Check-out Date:
+
Event Times:
Event or Speaker Theme(s):
Speaker Appearance Date / Time(s):
Type of meeting (awards, annual, training, conference):
Specific objectives for speaker presentation:
Dr. Andrew Colyer's role in the program
(keynote, seminar presentation, dinner speaker)
:
Sensitive issues to avoid in presentation:
Will attendees be eating during Dr. Andrew Colyer's presentation?:
Yes
No
Will there be coffee/lunch break before or after Dr. Andrew Colyer's presentation?:
Yes
No
Will Dr. Andrew Colyer be granted promotional opportunities at event?:
Yes
No
Who will be the master of ceremonies? (name and title):
Who will be introducing Dr. Andrew Colyer? (name and title):
List additional professional speakers & topics:
List professional speakers you have used in the past:
Specific likes/dislikes about their performance:
Audience / Attendee Analysis
Number of expected attendees:
Number of booked attendees:
Are spouses invited?:
Yes
No
Percentage of males versus females:
Average age of attendees:
Average income of attendees:
Attendee positions (practitioners, entrepreneurs, managers, sales, marketing, human resources):
Main company/association concerns/frustrations that you would like to see change and improve:
Area your company would like to improve:
Company Profile Information
Main things we should know about your company/group:
What your company does:
Target markets/industries for your organization:
Your average customer:
The primary product/service that you sell:
Your major competitors:
Additional comments or information that would be helpful in tailoring this presentation for your group:
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