Interested in having Tina speak at your event?
Please complete the following form so we can get to know you and your event in greater detail.
Event Website / Company Website
What is the name of the Event?
Where is the event being held?
Leave this blank if the location has not yet been set.
Street Address Line 2
State / Province
Postal / Zip Code
Proposed Date of Event:
Duration of Tina's Talk
How many attendees are expected?
Will there be an opportunity to sell books/other products at the event?
Will travel expenses be covered by the event? (If required)
Why do you think Tina would be an AMAZING fit as a speaker for your event?
Is there anything else we should know?
Should be Empty:
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