Contact Name *

First Name

Last Name

Phone *

(###)

###

####

Event Platform *

Describe the event to be either online, pre-recorded, or in person.

ONLINE

PRE-RECORDED (ON-SITE)

PRE-RECORDED (OFF-SITE) - include specs

IN PERSON

Address of Event

If ONSITE, include venue's address.

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Need help brainstorming the event... *

Are you currently planning your event and need guidance and direction? Please let us know.

Yes - Assistance Needed

No - Event is already planned

Start Date of Event *

MM

DD

YYYY

Ending Date of Event *

MM

DD

YYYY

Travel Accommodations *

We book all travel accommodations (flight/hotel) while keeping receipts for reimbursement (flight/parking/hotel/rental/gas) unless event is online. Renting a car may be applicable if the event is within 90-120 miles from Mike's office.

We understand and agree.

We need to discuss.