Speaking Requests

Contact Information

Name

Phone

Email

Title

Organization

Please provide active social media links for your organization.

Venue (or Virtual Platform)

Event location (City, State, Country)

Closest airport to event (if applicable)

Expected attendance (how many people do you expect at this event? Please also describe the demographics of your expected audience).

Please provide an estimate of your organization's budget.

Event Date (please list all possibilities and options for consideration)

Time of event

Please describe the capacity in which you're interested in working with Jamie at your event? (Select all that apply.)

Please provide any additional details we should know about your request, your organization or your event?