Speaking Request Form
Thank you for your interest in having
Robin May join you for your upcoming
event. In order to better serve you, we
will need you to complete this form. Once
we receive this form we will respond
within the next 48 hours!
Thank you again!
Company / Organization Name
Contact's Phone Number
Contact's Email Address
Event Location (City, State & Venue)
What day & time are you requesting Robin to speak?
What is the purpose of the event? (Ex: Women's Day, Couples Retreat, etc)
Who will be in attendance? (Men, Women, Couples, Singles, etc)
How many people are you expecting to attend this event?
What are you asking Robin to do for this event? (Ex: Keynote, seminar speaker, panel, etc)
Do you have a specific theme/topic you would like for Robin to address or would you like to receive a list of Robin's Speaking Topics?
Is this a free event? If not, what is the cost for attendee's?
What is your budget for your requested speaker(s)?
Is there any additional information you believe Robin needs to know?