EmailMe Form - Booking Request for Joyce Gilmer

Coordinator's Name *

First Last

Name of person making the request

Organization CEO *

First Last

Contact's Phone # *

Name of Venue

Venue Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Your Email

Venue's Phone Number

### - ### - ####

Company/Organization Website

Start Date & Time

MM / DD / YYYY HH : MM AM/PM

End Date & Time

MM / DD / YYYY HH : MM AM/PM

Type of Event

Requesting Other Event Type?:

Selecting Other? Explain what you're looking for us to do.

If Workshop, choose title or request your own below:

Wake Up to Your Dreams

Cracking the Confidence Code

Boosting Business With Social Media

Workshops are generally slated for 45 minutes to 1 hr.

Request Your Own Topic:

Request a Social Media Training? Select One.

N/A-Not Interested in Social Media Training

Periscope for Profit

Teach Me How to Canva

Flourish With FaceBook Groups

Trainings require Wi-Fi and attendee laptops

What is the expected attendance of your event?

How long may we share with your audience?

If you selected Other above, share the timeframe allotted for us to speak.

What is your budget?

$400 Local NonProfit Rate (Requires Approval by Office)

$550 Workshop/Seminar

$850 Keynote Speaker

Coach Joyce receives a speaker fee for ALL engagements, in addition to reserving the right to promote products or services. A limited # of NonProfit rates are available to specific organizations who want to experience her speaking/training, but have limited budgets.
These rates are Confirmed on APPROVAL BASIS Only.

Proposed Speaker Fee $

Use this space to propose an alternate honorarium based on your organization or event budget.

Please tell us about your audience: (Who will we be speaking to?) *

Specify details regarding your intended audience needs and any other details you think we need to know. Our office will follow up with an email once availability is confirmed.