Pre-Event Questionnaire

(Please provide information about company)

Company/Event Website

Contact's Name & Title (required)

Contact's Address/City/State/Zip:

Contact's Email (required)

Contact's Phone

Event Location - (City/State/Venue)

What is the Date of Event?
What Date & Time Would Apryl Speak?

Purpose of meeting/event

Demographic and Profile of audience and estimated audience size

What is your Speaker budget?

Is travel/lodging included for the speaker What is the closest airport? Will ground transportation and meals be provided?
(Apryl travels from Dallas, TX)

Speech type requested: (keynote, conference workshop, seminar, etc.)

Topic Requested

Length of presentation

Additional Comments