Speaking RequestsWould you like Chris to speak at your event? Send over the details and we’ll try to make it happen! EVENT CONTACT INFORMATION Event Main Point of Contact * First Name Last Name Email * Phone * (###) ### #### GENERAL INFORMATION Event Name * Type of Event * Live (in-person) Live (zoom or online) Pre-recorded (zoom quality) Pre-recorded (studio quality) What organization is sponsoring the event? * Event Start Date * MM DD YYYY Event End Date MM DD YYYY How many times would you like Chris to speak? * Please outline details of each session including start and end time. * Including how many minutes you'd like Chris to speak for each session, specific topics you'd like him to cover, and any other pertinent details. Is anyone else speaking at this event? * Yes No Who is the target audience? * How many attendees do you expect? * Ticket Price: * $ Is this event open to the general public or by invitation only? * If required, will you cover costs for Chris and his travel companion including flights, car rental, hotel, and meals? * Yes No If you answered no to the previous question, please explain here: Will you require a bio and head shot? * Yes No Will there be an honorarium? * Yes No Honorarium * $ Thank you!