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Speaking Event Interest Form

Thank you for considering me as a speaker for your event! I love talking about creativity, the writing process, and everything in between; from staying inspired to actually getting the work done. Share a few details about your event below, and I'll follow up to talk through the fit, format, and details.

Contact Info

Name

Email Address

Phone Number

Organization/Event name

About Your Event

What kind of event is this? (Conference, Writers' group/guild, School or library event, Festival, Corporate/team event, Other)

Estimated Audience Size

Date(s) of the Event

Topic Interest

Which topics are you interested in? (select all that apply):

Is there a specific angle or theme for this event you'd like the talk tailored to?

Logistics

Preferred format:

In-person

Virtual

If in-person, general location/city:

Does your event offer a speaking fee/honorarium?

If yes, what is the budget or fee range?

For in-person events only, are travel expenses covered separately, or factored into the fee?

Anything else you'd like me to know about your event or audience?