EmailMeForm
Online Speaking Request for Dr Ron Mueller
Please submit the requested information and Ron’s assistant Lisa Stevens, will contact you about this request within two working days. Her email is info@homebusinesstaxsavings.com
Name
First
Last
Email
Phone
###
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###
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####
Type of Event
i.e., “weeky team call” or “special teleconference,” etc.
What you want the Attendees to take away from Dr Mueller’s presentation?
Company you represent
Website to learn more about the company you represent
YOUR TIME ZONE
PACIFIC
MOUNTAIN
CENTRAL
EASTERN
Other
This is a request for a
Webinar
Telebriefing
Interview
Other
Who's Webinar or Teleconference System do you prefer to use?
Yours
Ours (Go2Webinar or Instant Teleseminar)
Other
Requested Date for Ron To Speak
MM
/
DD
/
YYYY
Alternate Date (if requested date is not available)
MM
/
DD
/
YYYY
Call/webinar Start time
HH
:
MM
AM
PM
AM/PM
Call/Webinar End Time
HH
:
MM
AM
PM
AM/PM
Requested Length of Time for Ron to Speak
If we’re using your service, please list the call-in number and or log on link.
Number of attendees expected?
Types of attendees expected (distributors, prospects, or both)
Is there another speaker or call immediately following this one?
How were you referred to us?
Have you hosted Ron before? If so, when?
A good number to call if there are any LAST MINUTE technical glitches
Name and Email of person who will be Promoting Dr. Mueller’s appearance
