Event Title
Event Date
Event Time
Event Location
Purpose of the organisation
Objective of the Event
Website for your Event/Organization
Will the event be open to the public? Yes
No
Estimated number of attendees
Will this be a ticketed event? Yes
If so, what's the average price of the tickets?
How do you plan to market and advertise your Event?
Demographics of Attendees:
Other speakers:
Venue Address:
Name of Company to be listed on the contract
Address of Company to be listed on the contract
Name & Title of who will be signing contract from Company
First Name
Last Name
Email
Confirmation Email
Office Phone
Alternate Number
