Organization Details:

Title of Event (required)

Name of Organization/Company (required)

Company/Event Website (required)

Date (required)

Time (required)

Location (required)

Expected number of people (required)

How long will Bobette speak? (required)

Will there be Q&A? (required)

Will she be a panelist or keynote? (required)

Will she stand at a podium or sit at a table? (required)

What is the setting: i.e. casual/formal? (required)

Will PowerPoint projection be available? (required)

The focus of her remarks? (required)

*Required Info* What is your budget? (Please enter numbers only. No commas or periods.)

Is travel included?
YesNo

Contact Information:

Executive/Administrative Assistant/POC: (required)

Mailing Address (if different) (required)

Phone/cell (required)

Email (required)

Fax

Your Message