Speaker Inquiry Please take a few minutes to tell us about your event. Name * First Name Last Name Email * Phone * (###) ### #### What is the name of the organization and what is your role? * When is your event and where will it be held? * Please describe who will be in your audience. How many attendees do you expect? * Are you looking for a traditional Keynote, or a more interactive "workshop" type of presentation? * Which of your past speakers have done well and resonated with this group? * What is your speaker fee budget range? Are you interested in purchasing Missy's book for your attendees? * Which of the following topics are you most interested in? Forces at Work Let Your Dream Lead The Core Values that Connect Us The Power of a Coaching Leader We're not sure about the topic yet We want a customized Keynote What questions do you have for Missy? * Thank you so much for completing the intake form.This will help me get to know you better and help determine your first goals and objectives.Also - sometimes our emails end up in your promotions folder, spam folder, or junk the first time, so you might need to check for it there and be sure to add Missy and myself to your contacts.
