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Booking Request Form

Please complete and submit this form to request Esther Mwema’s participation at your upcoming event. This form will be reviewed by Esther Mwema and her team within 5 working days. 

Section 1: Request Details

Deadline for Response: When do you need a response from the speaker?

Booking Type

A
B

Booking Type

Artist Booking

Digital Inequalities Expert Booking

Event Format Requested

Travel Requirement

A
B
C
D
E

Please indicate which of the following is covered by the organizers

Is there a compensation for this speaking event?

What is your budget, if any?

If the speaker is available, will you provide

Section 2: About You

Your Name

Title

Name of Organization / Institution / Collective

Phone number

Email Address

Organization or Event Website / URL

Information about your organization and the event agenda, theme or other invited guests

What do you want Esther Mwema to speak about - or what impact do you want her to have on your event?

Section 3: About the Event

Event title

Date of Event

Proposed session slot time

Proposed Speaking duration

Who are the expected attendees / audience?

Expected number of attendees in the session / event?

Will there be a Q & A?

A
B
C

Are presentation materials needed

A
B
C

Attendance requirements for speaker

A
B
C

Are attendees paying to access the event?

A
B
C

Primary Event Sponsor / Host

How long has the event been in existence?

A
B
C

Section 4: Media and Event Coverage

Is the event open to the public?

A
B

Are media representatives invited?

A
B

Will the event be publicised on social media?

A
B

Will the speaker receive audience feedback after the event?

A
B
C

Will the event be broadcast or streamed?

Will the speaker receive any recordings or photos after the event?

Will there be a photo approval or release form?

A
B