Request Kelly to Speak at Your Event

Primary Contact First Name *

Primary Contact Last Name *

Primary Contact Phone *

Primary Contact Email *

Date Requested for Presentation *

Day(s) of the Week Requested for Presentation

Time of Presentation and Timezone *

Length of Speaking Slot *

Event Title or Type *

Name of Company Making the Request *

Location / Venue Name *

Venue Address & City/State *

Estimated Number of Attendees *

Audience Description (realtors, CPA's, etc or who?) *

Topic or Goal of Talk *

Specific Pain Points /Challenges

Who is the contact for logistics? *

Presentation Format Requested

AV Equipment Provided *

Projector/Screen
Microphone
WiFi Access

Additional Comments or Notes *

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