POINT OF CONTACT FOR THIS EVENT

First Name

Last Name

Phone Number

Name of upcoming event

Date of Event

Website

Estimated number of attendees

What are the demographics of your attendees?

Provide a brief description of the event and it's mission

What is your budget for hiring a keynote speaker for your event?

Will travel and hotel accommodations be covered?

Will Grace have a booth or table to sell her products?

Why do you think Grace will be a great fit for your event?

Anything else you want us to know?

Attach Flyer or Promotion information

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