1. Your Name:
4. Organization Name:
5. Organization Address:
1. Do you use paid professional speakers?
If "Yes," what speakers have you used in the past?
2. Who else is speaking at this event?
3. When is the program date and time?
4. Where would the meeting be held?
6. What type of meeting is this?
7. How is the meeting decision made?
8. When do you begin planning?
9. Is their a focus or theme to your meeting?
10. Is there a budget I should be aware of?
11. What challenge would you like the speaker to address?
12. What is your desired outcome for the audience after the speaker’s presentation?
1. Would you describe the attendees? Number of attendees expected:
General profile of attendees:
Male to Female Ratio:
2. Would you provide names and phone numbers of 3 people the speaker can connect with in advance to get a good feel of the audience?
1. Who is the on-site contact person and their contact information?
2. When would you like handouts sent to you for duplication?
3. Can the speaker send books ahead of time for back-of-the-room book signing?
4. Any recommendation for a nearby airport, hotel and ground transportation to and from the venue?
5. Who will be introducing the speaker?
Additional Comments or Questions?
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