Booking request form

Name

First Name

Last Name

Your Company Name:

Website

http://

Your Social Media Links:

Phone

(###)

###

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If you wish to have Ms. Reid at your speaking engagement, please indicate the name of the event and the time commitment.

Please provide a brief description of your collaboration request:

Number of attendees:

Please describe intention of event.

Price of tickets if this is a paid event:

Budget for honorarium:

Are you interested in purchasing books at wholesale for your attendees?

Yes

If you wish to have Ms. Reid as a guest on your podcast, please provide the name here:

Please provide the event date, time, location.

How long have you hosted this event or experience?

What topic would you like for Ms. Reid to expand on?

Additional details:

Please provide link for videos for the past events if available:

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