Speaking Engagement Survey for Molly Jo Realy

1.What shall I call you, and how do I reach you?
(Required.)
2.Tell me about it: What is your organization or group? When is the event calendared? Are there pre- or post-event meetings you would like me available for? Please give name, location, approximate attendance.
3.What is the theme/subject of the event? Are there several themes/subjects? (Required.)
4.Is there a specific WRITING theme/subject you want me to speak on?(Required.)
5.Is there a specific FAITH-BASED theme/subject you want me to speak on?(Required.)
6.If you chose "other" for your answer to Q5, please describe your suggested speaking topic/content here.(Required.)
7.Does your organization offer speaking fees?
8.Have we worked together before?(Required.)
9.How did you hear about me?(Required.)
10.Is there anything else you would like me to know about your project?