Sponsor or Name of Your Organization

Event Day of the Week:

Name of Event/Series:

Please provide a website of current or past events, if available.

Event Description:

Please indicate Lecture, Reading, On-stage Conversation or Interview, Workshop, Class Visit, and include Meals, Receptions and Social Events. Note if there is an overarching topic or theme.

Event Timetable:

Please include the exact times for each event. If unknown, estimate Morning, Afternoon, or Evening. In general, Readings are about 30 minutes long and followed by a Book Signing.

Where does the speaker go when they arrive?

Please be as detailed as possible: Is there special seating or a dressing room? Do they need to sign in? Who will meet the speaker?

Topic You'd Like Speaker to Address:

Audience Profile:

Audience demographics, the number of people who might attend and/or the capacity of the event room. Is the event open to the public or private? Is it free or is there a ticket charge?

Speaker Fee (in US dollars):

Current Range: $475.00-$2,500.00 NOTE: This fee does not include travel. The final booking price is contingent on many variables, and the booking fee we show is based on a range derived from our past experience with what our Speakers/Authors typically charge for an event. Additionally, the speaking fee might be different than the fee shown for the cost to perform or to just appear, and finally, popularity, career stage, along with current demand will cause fluctuations in their speaking price. The final booking price may be more than what is shown, but you should at least have a budget within that range for them to consider an appearance, performance or speaking engagement. Please enter the pre-negotiated number you will pay the speaker or your budget estimate. Enter 0 for pro-bono or rate-reduced events

$

Travel Comments:

Hotel Accommodations:

Specify the number of hotel nights provided. Please give the hotel name, address, and website.

Nearest Major Airport (or Train Station):

Please include distance from event venue. Please write N/A if not applicable.

Past Speakers:

Book Sales Vendor:

Our standard contract indicates Sponsor agrees to arrange to have Speaker's books available for sale at the Book Signing. Please provide the name of your bookseller.

Speaker Attire:

Please indicate Casual, Business Casual, Business, Black Tie, Academic Regalia

Please Provide Any Other Info About Your Event Here:

Title:

Business:

Email: