CEO Speaking Engagement Requests

Name*

First Last

Email*

Phone*

Business Name*

Please describe your business.*

Is this speaking engagement part of a larger event, or a stand-alone presentation?*

Please indicate the date of the event. If there is no fixed date, please indicate any preferred dates and times.*

If the speaking engagement is part of a larger event, please describe this event in detail.

Why are you requesting Prabha Mitchell's presence at this event?*

How many people do you expect to attend this event? If you have data from previous years, please provide past attendance numbers.*

What is the format of the event?*

What is the required length of the presentation?*

Will a slide deck be required?*

Other comments

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