Speaking – Pre-Event Questionnaire

Are you interested in having Alicia D. Reece deliver a talk to professionals and leaders at your corporation, organization, or association?

Please complete the form below. Are you having trouble or have questions? Contact our team at [email protected].

Speaking Form

Name of Company/Association(Required)

My company is a...(Required)

Corporation

Conference

College

Other

Name(Required)

First Last

Email(Required)

Phone(Required)

Event Location (City, State, Venue)(Required)

What is the date of the event?(Required)

How many people will be attending?(Required)

What date and time would Alicia speak?(Required)

What exactly would you like Alicia to do?(Required)

Keynote

Serve as a Conference Speaker

Serve as a Workshop Leader

Appear as a Panelist

Serve as a Facilitator

Other

What topic would you like her to address?(Required)

How long would the talk last?(Required)

Is there more than 1 appearance requested?(Required)

Tell us briefly about the event, it's purpose, and the demographic of the attendees.(Required)

What does a successful event look like? Please provide metrics of success Alicia will be expected to deliver.(Required)

What is your speaker fee budget?(Required)

Would you like for Alicia to do a book signing at the event?(Required)

Yes

Would you like to pre-order books?(Required)

Yes

If so, approximately how many?

Is there anything else you'd like us to know?

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