Booking Details Form (Extended)

Tell Us About Your Upcoming Event

Event Name *

Event Date *

Event Organizers Name *

First

Last

Event Organizers Phone Number *

Event Organizers Email *

Assistant's Name, Phone Number and Email *

Event address or approximate venue location *

How many talks and for how long? *

What is the nature of this event, i.e. fundraiser, youth talk, business talk, pro-life talk, what is the age demographic, etc. Please provide as much detail as possible? *

What need or niche do you hope to expect Mario St. Francis to fill at your event? *

How many people are registered or projected to be at the event? *

How many days are needed for the presentation? *

If you are within driving distance, how far are you from the speaker’s hometown (Washington D.C.))? *

What budget do you have to cover the speaker honorarium? (The amount you provide does not include expenses. This amount is negotiable and can be an approximate amount.) *

What airport should the speaker fly into? *

What are your suggested fly in and fly out dates and times? *

Address of the venue? *

How far is the venue from the airport? *

How far is the hotel from the venue? *

What address does the Speaker ship merchandise to? *

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Line 2

City

State

Zip Code

Country

Additional Comments: *

How did you find out about Mario St. Francis? *

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