Robin Chant - Speaking Request Question Title * 1. Please provide your name, email address and telephone number. Question Title * 2. Website Question Title * 3. Please provide the name, date and location of the event. (MUST be at least 6 months out) Question Title * 4. Please describe the event. Question Title * 5. Please describe your audience demographic (i.e. age, geographic region, psychographic profile, etc): Question Title * 6. What is you speaking budget range? Question Title * 7. Is this the first time you are hosting this event? Yes No Question Title * 8. How many attendees are projected to come? Question Title * 9. Are you selling products or programs at the event? Yes No Question Title * 10. Will we be able to sell our products and programs at the event? Yes No Submit