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SPEAKING ENGAGEMENT FORM:

Please complete the form below to the best of your ability.
 
 Yes
 No, this is a virtual event
 Reading and Book Signing
 Lecture and Book Signing
 Keynote
 Commencement
 Moderated Conversation and Book Signing
 Panel Discussion
 Workshop
 School/Class Visit
Other:
 Yes
 No
 Free
 Ticket Charge (below)
 Yes
 No, the fee is inclusive of travel
 We are able to offer a limited amount
 Yes
 No, the fee is inclusive of accommodations
 We are able to offer a limited amount
 I am not a spam bot.