Grateful Living Speaker Request

Speaker Request

This form provides Grateful Living with necessary information to understand and properly direct your request.

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Name | Organizational Representative(Required)

First Last

Organization(Required)

Name of Organization

Email(Required)

Enter Email Confirm Email

Organizational Details(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Please select all that apply from the following offerings:(Required)

Keynote Presentation

All DayWorkshop

1/2 Day Workshop

All Day Retreat

1/2 Day Retreat

Virtual

In-person

Tell us about the opportunity and what topic(s) you would like us to present on:(Required)

Tell us about your community:

How large is your community?(Required)

How many people do you expect to participate in this speaking engagement?(Required)

What is your budget for this request?(Required)

What is the proposed date for this speaking engagement?

How will you market/promote the event?(Required)

Please tell us anything that would help us further understand your request, including ways our work is aligned with yours. Thank you!