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Event Request Form
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Name:
*
Address:
*
Phone:
*
Contact Person:
*
Email:
*
Website:
Are you a non-profit organization?
yes
no
Are you a privately or publicly held organization?
private
public
Describe your Industry:
Preferred Date for the Event?
Is the Event Date Flexible?
yes
no
Where is the Event taking place?
What is the purpose of the Event?
Who is the target Audience?
Audience Size?
What are your 3 major Industry concerns?
Is there a theme for the Event? If so, what?
What kind of talent are you considering? Music, Speakers, Celebrities, Athletes etc�
Is there a particular industry or niche market you would like to select talent from?
If talent selected is a speaker, do you want them to speak on a certain subject? If so, what subject?
Past Talent Used?
Additional Comments:
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