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Intake Form
Arranging for a motivational speaker, celebrity guest, or sports figure is easy.  Submit your request on the form below.  All scheduled appearances are on a first come, first served basis.  Prices are dependent on the locale, and the date of the appearance.  Quotes do not include the per diems for the appearances.  Those are the responsibility of the host and are cost dependent upon the hosts choice of locale.  Submitting the request form below indicates that you understand that you will be responsible for the agreed contract price and any incidental expenses and per diem that arise from your scheduled celebrity appearance, or speakers presentation.

Engagement Reservation Form

Name of organization:
Location of organization:
Audience size and type:
Major talking points:
Objectives:
Theme:
Length of speech:
Begin Date
of your event
End Date
of your event
Please define your event
And needs here.
Provide the location
of the event
Choose a celebrity:
Your first name
Your last name
Address 1
Address 2
City
State
Cell Phone
Main Phone
Travel/Airline
Departing location:
Return Location:
Hotel location:
Number of nights:
Ground transportation type:
Email address
Contract Mail Date:
Contract Ratification Date:
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