Speaker Booking - Creating Effective Organizations

Welcome

Please complete this speaker request form for Ileana. Be as detailed as possible to ensure we can offer the best service possible. Please allow 2 business days for a response.

Name*

First Last

Email*

Phone*

Date of Event*

Name of Conference or Event*

Is this an annual event?*

Yes
No

Expected Number of Attendees*

Event Type*

Is the event free for attendees?

Yes
No

What's Your Speaker/Trainer Budget?*

What type of talk would you like Ileana to do?*

What professional trainers/speakers have you used in the past and what topics did they cover?*

Are there any sensitive issues that I should be aware of topics that should be avoided?

What are some of the current problems/challenges/breakthroughs experienced by your attendees, industry, organization, association or people?

What are 3 concepts or take-a-ways Ileana can deliver that will allow your attendees, industry, organization, association or people to maximize their performance.

Can Ileana bring books to sell?*

Yes
No

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