GENERAL INFO

Speaker Website *

Headshots *

PDF, DOC/DOCX, XLS/CSV, JPG/JPEG, PNG, GIF ( max 20 Files )Please add 1-2 headshots

Links To All Of Your Social Media Accounts *

Please provide your speaker bio *

1-2 paragraphs

What is your current speaking fee? *

$

Please share any other bureau sites that you are listed on *

Please list the speeches you’ve been booked for in the last 6 months and make note of any that have been no-fee speeches. *

What is your core message and topic area? *

Please describe 1-2 of your keynote speeches, Including the title and key audience takeaways *

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