Gail Crowder Speaking Engagement Inquiry

We're so excited you're interested in having Gail speak in your area. Please share some information with us about your event.

* Required

First & Last Name*

Your role within the event or relationship to the organization*

Email Address*

Preferred Contact Number*

How did you hear about Gail?

About the Event

Sponsoring Organization*

Sponsoring Organization's Website*

Event Name*

Event Begin Date*

MonthDayYear

Event End Date*

MonthDayYear

Number of times you are requesting Gail to speak*

Event website (if any)

Event venue name*

Event venue address*

Airport Gail should fly into

Anticipated attendance*

Description of Participants

Why would you like Gail to speak at this event?

Is there a particular theme you would like Gail to address?*

For budgeting purposes, please indicate your budgeted speaking honorarium (and please know that Gail does not accept or decline invitations based on finances).*

Will a flyer be emailed for Gail to promote the event?

What media is required from Gail; i.e. biography, photo, social media, etc.?

Can Gail's resources be available for purchase at the event?*

YesNo

Are you able/willing to provide airfare and transportation for Gail and her assistant (s)?*

Yes, for Gail onlyYes, for bothNoNot applicable

Are you able/willing to provide accommodations for Gail and her assistant(s)?*

Yes, for GailYes, for bothNoNot applicable

Please feel free to include any other information that might be of interest concerning the nature and purpose of this event.