To book me at your next speaking engagement,  please fill out the following form below.

Please note, due to my part-time status, I request no less than 2 weeks advance notice.  Also, I am only available from Saturday 7:00 am – Sunday 3:00 pm for the time being.

Booking Request Form
Please provide Address, Suite, City, State, and Zipcode.
Provide a synopsis of what I will be the topic of discussion, and how my services are requested. Note: I may contact you for clarification.
Provide the name of Hosting Company/Entity.
Please provide company or parent company address location. Alternatively, if no company available, please provide a business mailing address.
If not available, put N/A.

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