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Speaking Request Form
Please enable JavaScript in your browser to complete this form.
Name
*
First
Last
Email
*
Business Or Organization Name
*
Type Of Business Or Organization
*
Phone Number
*
Event Date
*
Event Start Time
*
Event End Time
*
Length Of Requested Speaking Time
Venue Name
Venue Address
Type Of Speaking Event
*
In-Person
Virtual
Speaking Role
*
Solo (Only Speaker)
Panel (Multiple Speakers)
Keynote (Main Speaker)
Additional Role
*
Q&A
Meet/Greet
None
I have read the requirements?
*
I acknowledge that I have read and understand the requirements below.
Requirements for booking Brandon: 1.) The business or organization must provide the required information above. 2.) The business or organization must meet my honorarium requirements which include the speaking fee, plus reimbursement for first-class airfare, lodging, and ground transportation. The speaking fees have already been predetermined for universities, high schools, and both for-profit and non-profit businesses, based upon the type of possible speaking event and my role at your event. The speaking fee will be communicated to the name and email listed above, upon review of your request. For those that cannot meet the honorarium requirements associated with an in-person event, I offer a virtual option. Please do not submit this form if you cannot meet these requirements.
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