Please assist us in ensuring I provide the most valuable experience for your event by completing this short questionnaire, thank you!

Last Name

First Name *

Email *

Phone *

I Consent to Receive SMS Notifications, Alerts & Occasional Marketing Communication from company. Message frequency varies. Message & data rates may apply. Text HELP to (XXX) XXX-XXXX for assistance. You can reply STOP to unsubscribe at any time.

Company/Organization *

Organization Website (if separate from the event website)

Address (Where can I say a Thank You Card for hiring me as a speaker) *

How did you hear about us? *

Event Details

Tell us about your event so Jovan can get a better understanding of your organization and audience.

Name & Theme of Event: *

Date & Time of Event: *

Event Website (if separate from your organization's website) *

What type of event, conference or convention are you planning? *

One-Day Event

Multi-Day Event

Is this event Virtual, Hybrid or In-Person? *

Virtual
Hybrid
In-Person
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If in person, where will the event be held? *

How often does your organization or association host events yearly? *

Annually
Quarterly
Monthly
More than 6 events/year
Other
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If you selected "Other" above, please share how often your organization hosts events.

What is your Budget or Budget Range in $USD for this meeting or event? *

Do you plan to hire additional talent for your meeting, if so who? *

Workshop Speakers

Keynote Speaker

Moderator

Other

If other type it here

The Audience

Tell me about your audience and event. Please be as specific as possible *

How many attendees are expected? *

50-

50+

100+

500+

1000+

Upon submission of this form, you will be taken to our scheduler to book a chemistry call. On that call, you will discuss event needs and expectations and Jovan will provide the investment for her Speaking services. Is that okay? *

Yes, I understand.

No, that does not work for me.

Feel free to include any additional comments about the audience that you would like Quinn or her team to know: *