Speaker Request

Full Name *

Email *

Phone

What is the name or type of your platform? *

Please describe your audience. *

What message or experience are you hoping I’ll bring to your audience? *

Have you experienced my work before (live, YouTube, summits, etc.)? *

Yes, I’ve attended a live event or workshop

I’ve watched your YouTube or social content

I’ve read your book or guide

Not yet, but I’ve been referred

No, I’m just discovering your work now

(Multiple Choice)

If a specific scheduled event, when & what timezone is it based in?

Is this a paid or unpaid opportunity?

Paid speaking engagement

Opportunity for future paid collaborations

Unpaid, but I offer exposure/promotion

Unpaid, sacred offering

(Multiple Choice)

Is there anything else you'd like me to know before I consider your request?

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