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ENCOURAGE. INSPIRE. EMPOWER.

ATTENDEES AT YOUR EVENT

Name

Phone

Email

Company/Organization

Status of Company/Organization

For Profit

Non-Profit

Name of Event

Date & Time of Event

Address/Location

Type of Event (brunch, workshop, conference, etc.)

This Event Will Be

In-Person

Virtual

Expected Number of Attendees

List Any Sponsors

Will media be present?

How would you like Tiffany to present?

Keynote Speaker

Workshop Facilitator

Train

Panelist

Host/MC

What is your speaker budget?

How long do you need Tiffany to speak?

Topic preferred

Will there be Q&A afterwards?

Yes

No

Deadline for acceptance?

Other Notes

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Home
Our Vision/Mission
Meet the CEO
Meet the Team
Services
Rates and Insurance
Blog
Contact
Getting Started
Client Portal
Speaker Request
Groups/Workshops

Phone:

803.764.4120

Email:

info@timetounpackcounseling.com

Address:

144 Leisure Lane Suite 200

Columbia, SC 29210

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