Capturing the Moments

The questions in this form are meant to dive deeper into the poetic experience, helping us craft the perfect presentation to capture the essence and vision of your unique story.

Name

First Name

Last Name

What is your Job Title?

What is the name of Company/Organization?

What is your Company/Organization website?

http://

Preferred contact method?

phone

email

Phone

(###)

###

####

Email

Have you hired professional speakers in the past?

What is your estimated budget for speaker fees?

Date of Event?

MM

DD

YYYY

Where is the event located?

Is this event:

Will there be food provided?

Yes

No

Is this an annual event?

Yes

No

What is the Occasion/Name of the event?

What is the Theme of event?

What is the duration of the event?

What is the estimated number of people in attendance?

Service(s) Requested:

What is the length of presentation?

What is the topic of presentation?

Will this piece have use within your organization after completion?

Yes

No

Information that serves to personalize the experience?

i.e., - positive memories, activities, impactful moments, etc.

Additional must-have details?

these are specific, intimate details that help create WOW moments within the piece

Additional Highlights/ Information?

anything from a motto, to running jokes, important names of people, pets, etc.

Additional Requests?