Thank you so much for your interest in working with Dr. Shahab!

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* 1. Could you kindly provide
1) your full name
2) your company name
3) your email address
4) best phone number

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* 2. How and where did you find us? If anybody referred you to us, please mention them here.

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* 3. Do you use paid, professional speakers?

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* 4. Could you please name a few paid, professional speakers that you've used in the past?

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* 5. Tell us a bit about the event:
1) What type of meeting is this?
2) Who are the audience? and how many?
3) Date and time of the event?
4) Where will it be held?
5) Will there be other speakers at the event? Who?

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* 6. Is there a theme, topic or focus for your meeting?

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* 7. Tell us about your expectations: What would have to happen to make the speaking engagement successful for you and your company?

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* 8. What kind of budget do you have for this speaking engagement?

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* 9. Anything else you might want us to know

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* 10. We would like to send you a small package (physical mail) so that you get to know us better. Please enter your exact mailing address here. Thank you!

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