Please Describe Your Event

When is your conference or meeting scheduled?

In what City & type of site?

What type of business is your organization in?

Who is your audience?

What is the approximate size of your audience?
Under 20 20-50 50-100 100-300 300-500 500 or more

How many programs will you have?

How many speakers are you looking for?

Date(s) of presentation(s)?

Length of presentation(s)?

What is your event format(s)?
Keynote Training Workshop Seminar Closing Session
Other:

Please list any speakers about whom you'd like more info:

Please Describe Your Goals for this Meeting

What response do you want to trigger in your audience?
Examples: Jump Start on Organizational Innovation Efforts, Generate a Bunch of New Product Ideas, Train them to Use Creativity Tools for Generating Ideas on Their Own, Get Them Working Together Better as a Team, Get Them Motivated or Inspired about the Future, Develop Leadership Skills

What is the theme of your event and describe the issues related to your event that the speaker will need to address.

What challenges or new opportunities does your organization or industry face?

What is your budget range for presenters?
Under $2500 $2.5k - 5.0k $5.0k - 10.0k $10.0k - 15.0k $15.0k - 20.0k $20.0k - 25.0k $25.0k - 35.0k $35.0k - 50.0k $50.0k+

Please list any additional objectives or needs:

Your Contact Information:

First Name: Last Name:
Company:
Title:
Address:
City: State: Country: Zip:
Phone:
FAX:
E-mail address:
World Wide Web Address: