Speaker Request Form

First Name *

Last Name *

Name of Organization or Business *

Phone *

Email *

Who will I be speaking to? *

Date Request (2 week minimum required) *

Budget *

Presentation Pricing & Details

💼 Presentation Fee:
Rates begin at $250 for a 90-minute presentation.

✈️ Travel Expenses:
For locations more than 20 miles from my office, the current IRS standard mileage rate will apply for round-trip travel. If overnight accommodations are required, hotel expenses will also be billed accordingly.

📄 Handouts:

Up to 50 copies: $5 per handout
51+ copies: $4.50 per handout
Clients may also request a PDF version of the presentation for self-printing.

🔌 Presentation Requirements:
A computer connected to a large screen or projector is required for optimal viewing of the presentation.

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