Fee Request

To determine the Speaker or Consultant’s fee please complete the following form. The Speaker / Consultant will establish the compensation plan and or fee and get back with you within 24 hours. Once you have submitted this form, you will be able to print this request for your records.

Contact Information

Your Name/Representative: (*)
Enter your or your Representative's name.
Sponsor/Company Name:
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Billing Mailing Address:
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City:
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State:
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Zip:
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Your Office Phone Number:
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Your Cell Phone Number:
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Your Email Address: (*)
Must be a valid email.

Description of Needs

Please Explain Your Needs Below:
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Speaker / Consultant you are requesting:
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Location of the Event:
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Date of the Event
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Name of the Event:
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Number of Days:
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Hours per Day:
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Speaking Time (Start to Finish):
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Approx. Number of Attendees:
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Extra Speaking (extra fee):
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Confirmation Information

Please Confirm, fax and email our speaking quote to:
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Name:
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Fax Number:
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Email:
Must be valid email.
Phone Number:
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Verification Verification
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Testimonial

From Walter A DeVenne III

Dear Liz,

I wanted to personally take the time to thank you and Sonia for allowing Clear Title America to utilize the amazing talents of Alan Thompson. The feedback and responses we received were extremely positive. His performance for what we needed him to do completely exceeded our expectations. We are excited about the future in utilizing his speaking abilities. I will let you know in February some dates on planning similar events. Take care and thanks again Liz!

Sincerely,

Walter A DeVenne III
Director of Marketing
Clear Title America

 

 
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