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 *

Month Day Year

Event End Date *

Month Day Year

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? *

Yes No

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

Yes, for Gail only Yes, for both No Not applicable

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

Yes, for Gail Yes, for both No Not applicable

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