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We Love To Connect With You

We love connecting with your circles of synergy and are astound to have Coach Tasha at your event.

To connect with Coach Tasha, please fill out the questionnaire below.

First name

Last name

Email

Company or Organization is a Non-Profit Website

Yes

No

Name of the event:

Event Host Name:

Event Date:

Time of Event:

Time

HoursMinutes

Location of Event: Street Address, City, State, Zip Code Country

Expected # of Attendees:

How will this event be conducted?

In-Person

Virtual

Hybrid

What are the desired objectives or deliverables for the event ? Ex. Keynote for Luncheon event, Participate in a panel, other? Please explain below

What is the requested time investment? Please provide information connected to arrival, presentation length and potential departure.

What’s the event budget for speaker? Radical transparency is important for us in the planning process.

Do you have any social media request (such as social media post or live requests, etc) for this event? If so, please list the deadline dates and context of the request:

Do you have any video or recording requests for this event? If so, please list the deadline dates and context of the request:

We have found that a talk without tools is incomplete. We always encourage [when possible] conference planners to consider purchasing our products as gifts to attendees in order to keep the message going long after this singular moment in time. Would the

Yes

No

Aside from the requests mentioned above, are there any other requests that you desire to be full-filled prior to the event such as touch point meetings, or in person promotional needs?

Will the event be video recorded?

Yes

No

N/A

If so, will a replay link be provided to us? —Please choose an option

Yes

No

N/A

Will the event be photographed? —Please choose an option

Yes

No

If so, will photos taken be provided to us? —Please choose an option

Yes

No

N/A

Will we be permitted to bring a book and product table? —Please choose an option

Yes

No

I use Google Slides to create decks to accompany presentations. Please share in detail the A/V capacity of the space.

What else should we know about your event?

Welcome Legacy Builders, Visionary Leaders, and Change Agents

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We Love To Connect With You

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