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* 1. Approximate time frame of your event

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* 2. How many people are you expecting to attend?

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* 3. What is the general topic of your event? (Choose all that apply)

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* 4. What typical demographic are your attendees? (Choose all that apply)

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* 5. Have you decided on a budget for your speaker?

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* 6. Is this the first time you are holding this particular event?

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* 7. Contact Information

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* 8. Thank you for your time to complete this form.
A team member will contact you very soon to arrange a time to meet up with Imelda.
You may leave any additional comments in the text box below.
then click on the 'Done' button to send your request.

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