Speaker Request

Please fill out this form to request Janet to speak at your event. She will review your request and contact you within 48 hours. Thank you!

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Contact Name *

Phone Number *

Email *

Event Name *

Event Location *

Event Date *

Event Type *

• Live
• Virtual
• Prerecorded
• Breakout Rooms
• Keynote

Speaking Time Allotment *30 minutes45 minutes60 minutes90 minutesOther

Event Sponsor *

Event Theme *

Projected number of attendees *

Who are your attendees? *

Vendor Booth Availability *

• Yes
• No

Sales Pitch Policy *

Submit Speaker Request