Speaker Pre-Interest Form 

Thank you for your interest in being a speaker/panelist! We are excited about the opportunity to partner with you as we encourage, enlighten, empower, and enrich the lives of the women we serve. Please complete the application below. A team member will contact you within 3-5 business days to confirm receipt and provide updates on available opportunities.

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* 1. Please tell us a little about you(Don't worry this information is for our eyes ONLY! we will not sell or share it with anyone)

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* 2. What is your age?

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* 3. Social Media Platforms 

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* 4. What cities are you interested in Speaking?

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* 5. What's your area of expertise?

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* 6. How long have you been speaking?

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* 7. Which opportunities are you most interested in?

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* 8. Would you pay to speak?

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* 9. If YES, how much?

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* 10. If NO, What is your hesitation/reservation with paying to speak?

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