First Name
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Last Name
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Organization
Phone
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Email
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Please provide your Instagram and Facebook profile URL's.
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Website
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Desired Speaking Event
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Can you tell us more about the event?
Please describe your event in detail
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What is the length of the event?
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What is the topic of the event?
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Can you explain your ideal audience? What are they looking to learn from your event?
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Where is this event being hosted?
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Will there be ticket sales for this event?
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YES
NO
How many people do you expect to attend the event?
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Will this event be recorded?
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YES
NO
Is this event out of the state of PA?
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YES
NO
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Link to the upcoming event or past events you've hosted
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Pictures or recap videos of any past events you have done
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Press, write-up, or interviews that may have been written regarding any past related events?
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Other speakers or presenters participating in this event
Do you have a venue the event will be held at you can share with us?
What is your speaking budget?
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$
How long are you needing/slotting Herman to speak?
Do we have the opportunity for vending or having an information/merchandise table at the event?
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