Please note that all of the following questions should be filled out with as much information as possible.
Date of Event *
Event Name *
Event Address *
City*
Zip Code *
Event chair person name
Contact/Cell Number *
Email *
What is the Purpose of the Event *
How many people are registered to attend? *
What airport will the the speaker fly into for the event? *
What hotel will the the speaker stay at? *
How many talks will the speaker give? *
For how long? *
What Adress does the speaker ship merchandise too? *
