Thank you for your interest in using Confidence Academy for your event. Please submit the following Speaker/Workshop Request Form.
start
 
What is the name of your organization/company?

 
Does your organization/company have a website? If so, please include it

 
What is the date and time of the event?

 
What is the name (or theme) of the event?

 
What is the location and address of the event?

 
What services are you requesting?


 
How many people do you estimate attending? What is the demographic of the audience?

 
What time would you like a staff member to arrive?  Are they required to stay the entire time of the event?

 
Is there a specific topic you would like covered? How long would you like the presentation to be?

 
What is your speaker budget?

 
Are you having vendors? What is the vendor fee for Confidence Academy?

 
If this event is taking place in a state/country (outside of Michigan), please complete the information below.

 
Is travel/lodging included?

     
 
What is the closest airport?

 
Is ground transportation (to/from the airport) provided?

     
 
Are meals provided?

     
 
What is your name and role with planning this event?

 
Please enter your telephone number *

 
Please include additional information that may be helpful

 
Please expect a response within 3 business days.  Please note that the event is not added to the calendar, until a booking agreement/contract has been signed by both entities.

Thanks for completing this typeform
Now create your own — it's free, easy & beautiful
Create a <strong>typeform</strong>
Powered by Typeform