Page 1 of 2
Speaking Inquiry Form - Dr. J Mike
For speaking engagements, workshops, or media appearances,
fill out the inquiry form below.
Your Name
*
Your Organization
*
Email
*
Phone number
*
Event Name
*
Event Date
*
Tell a little bit about the nature of the event.
*
What's the event format?
*
Audience Type & Size
(Who will be attending?)
*
Speaking Topic Requested
(Choose from listed topics or customize.
*
Speaking Topic Requested (Choose from listed topics or customize.
A
Strength and Conditioning/Power and Rotation Development/Advanced Training Principles
B
Sports Science & Nutrition Education/Sports Supplements
C
Performance Optimization
D
Customized Keynotes & Workshops
E
Fitness Industry Trends
F
I don't know yet.
Anything else you'd like to add?
*
How did you discover about me?
*
Submit
