SPEAKER CONSULTATION FORM

Speakers Platform provides meeting, conference, seminar and training planners this free service to help you find the keynote speakers and training talent you need.
Please provide the following information about your event and speaker requirements and a Speakers Platform Account Executive will contact you quickly. You don't need to answer every field, but we ask that you provide as much specific information as possible so we can most effectively serve you.
Or, simply call one of our experienced Account Managers to discuss your event toll free at: 1-877-717-5327, or email your event details to: Speaker@speaking.com

Please Describe Your Event

What date and time is your event scheduled?

City & site of event / meeting:

What is your organization and/or type of business?

Who is your audience? (examples: gender, age, professions, etc.)

What is the approximate size of your audience?
Under 30 30-50 50-100 100-200 200-300 300-500 500-1,000 1,000-4,000 4,000+

How many programs will you have?

How many speakers are you looking for?

Length of presentation(s)? (examples: 60 minute keynote, half day seminar, etc.)

What is your event format(s)?
Keynote Training Workshop Seminar Closing Session Spouse Program Publicity / General Appearance

If you have been referred to Speakers Platform by an Associate, please enter their name here.
Associate Name:

Please Describe Your Ideal Speaker(s)

List any speaker(s) you are already interested in booking:

Who spoke at your meeting last time/year?

What did you like and/or not like about your last speaker?

What is your budget range for the ideal speaker?
(note: free consultations available only for speakers over $2,500):

Under $3,500 $3,500 - 5,000 $5,000 - 7,500 $7,500 - 10,000 $10,000- 15,000 $15,000- 20,000 $20,000- 25,000 $25,000- 35,000 $35,000- 50,000 $50,000+

What effect/ impact do you want the speaker(s) to have on your audience?
(examples: educational, inspirational, entertaining, etc.)

What qualities are you looking for in a speaker?

Informational Humorous Tools & Techniques Entertaining Current Event Lecturing Case Study

What is most important about the speaker you need?

Who they are
What they do or have done
The information they impart
Their presentation style
Their educational content
Their "star" quality
Their personal achievements

What qualities are you *not* looking for in a speaker?

What type of speaker are you most interested in?
Scholar / Professor Topical Industry Expert / Leader Motivator Celebrity / Name Recognition (note: speakers in this category usually start at $20,000 and up)

What is the theme of your event and describe the issues related to your event that the speaker will need to address.

Please list any additional objectives or needs:

Your Contact Information:

First Name: Last Name:

Organization: Title:

Address: City:

State: Zip Code:

Country:

Phone: Fax:

Website URL:

E-mail: