Ann McNeill Speaking Event Questionnaire Ann McNeill Speaking Event Questionnaire Question Title * 1. Primary Contact Sponsoring Organization: Contact Name: Title: Phone: Email: Question Title * 2. Secondary Contact for Emergencies Contact Name: Contact Cell Phone: Question Title * 3. Date of Event Date / Time Date Time AM/PM - AM PM Question Title * 4. Program Details Program Name: Venue Address: Length of Time to Present: Length of Time for Q & A: Requested Topic/Subject: Additional Information: Question Title * 5. Type of Program Keynote Speaker Panel Discussion Workshop Presentation Staff Training Webinar Question Title * 6. Audience Information Who is Your Audience: Number of Attendees: Audience Gender: Audience Ethnicity: What Would You Most Like Your Audience To Experience? More Information: Question Title * 7. Marketing Social Media Marketing Handles Who will Market the Event? Where will Event Be Marketed? Question Title * 8. Who Is Responsible for Payment of Speaker Honorarium/Fee, Travel and Lodging Expenses? Name: Phone Number: Email Address: More Information: Question Title * 9. Who is Responsible for Helping with Transportation and Accommodations? Name: Phone Number: Email Address: More Information: Question Title * 10. Will you Provide Ann McNeill Your Attendance List? Yes No Question Title * 11. Will Ann be able to bring products for sale? Yes No Question Title * 12. Will you supply a booth or display table for Ann's products? Yes No Question Title * 13. Will you provide an assistant for Ann (product table, etc.)? Yes No Question Title * 14. Will you provide Ann with photos and/or video/audio recordings of the event/activity? Yes No Question Title * 15. What Meetings and Events Will Ann McNeill Be Expected to Attend? Question Title * 16. Anything Else We Need to Know to be of Maximum Service to You? Submit