What is the approximate size of your audience?
Under 150 150-500 500-1,500 1,500-3,000 3,000-6,000
6,000-10,000 10,000- 15,000 15,000- 25,000 25,000+

How many programs will you have?

How many speakers are you looking for?

Length of presentation(s)? (examples: 60 minute keynote, half day seminar, etc.)

What is your event format(s)?
Keynote Training Workshop Seminar Closing Session Spouse Program Publicity / General Appearance

If you have been referred to Speakers Platform by an Associate, please enter their name here.
Associate Name:

Please Describe Your Ideal Speaker(s)

List any speaker(s) you are already interested in booking:

Who spoke at your meeting last time/year?

What did you like and/or not like about your last speaker?

What is your budget range for the ideal speaker?

Below $2,500 $2,500 - 5,000 $5,000 - 10,000 $10,000- 15,000 $15,000- 20,000
$20,000- 25,000 $25,000- 35,000 $35,000- 50,000 $50,000+

What effect/ impact do you want the speaker(s) to have on your audience?
(examples: educational, inspirational, entertaining, etc.)

What qualities are you looking for in a speaker?

Informational Humorous Tools & Techniques Entertaining Current Event Lecturing Case Study

What is most important about the speaker you need?

·         Who they are

·         What they do or have done

·         The information they impart

·         Their presentation style

·         Their educational content

·         Their "star" quality

·         Their personal achievements

What qualities are you *not* looking for in a speaker?

What type of speaker are you most interested in?
Scholar / Professor Topical Industry Expert / Leader Motivator

What is the theme of your event and describe the issues related to your event that the speaker will need to address.

Please list any additional objectives or needs:

Your Contact Information: