Invite Ken To Speak At Your Event

Contact Person

Full Name *

Phone *

Email *

Title of your event or retreat *

Is there a theme or focus for this event? Please elaborate. *

Date(s) to be held? *

Location of Event *

Address

City *

State *

Website *

Please Provide Details Regarding Your Events Agenda *

What Will Take Place Before Ken's Presentation? *

What Other Training Sessions Will Be Taking Place During Your Event? *

What Are Your 3 Most Important Objectives For Ken's Presentation? *

What Would Make Ken's Presentation More Meaningful To Your Group? *

What Have You Liked Most About Speakers You Have Had In The Past? *

What Type Of Attire Will Your Organization's Attendees Wear At This Event? *

Business Professional

Business Casual

Casual

Describe Your Organizations Culture. *

What Are The Greatest Challenges Your Organization Or Group Is Currently Facing? *

Who Are Your Primary Competitors? *

About The Audience

Your input here is helpful to better understand the dynamics of your organization's specific culture and group make-up. Your answers do not in any way affect the content of the program. It simply helps me as the presenter to better serve your specific audience.

Estimated Number of Attendees

Percentage of Males : Percentage of Females

Percentage of Managers or Supervisors

Percentage of Senior or Executive Level Leaders

Group Age Range

Others Who May Attend The Event? (Clients, Spouses, Contractors, Vendors, Etc)

Thank you for your interest. Please submit your request and we will reach out to you regarding availability within 24-48 business hours.