Please List Your Speaking Experience
First Name
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Last Name
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Email
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Where are you located?
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Are you willing to travel?
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Yes
No
It depends.
Area(s) of Expertise for Speaking and/or Topics
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How many years of speaking experience do you have?
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Who is your ideal audience?
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What speaking opportunities are you open to? (check all that apply)
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Free Speaking Opportunities
Paid Stages
Podcast Guest Interviews
Pay to Play
Presenting Sponsorships
Do you want to Online or In Person Speaking Opportunities?
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In Person
Virtually
Both
How many speaking engagements are you looking for per month?
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Previous Speaking Engagements
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Do you already have a speaker one-sheet created?
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Yes
No
It's in the works.
Upload Speaker One-Sheet Here
Do you already have a speaker reel created?
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Yes
No
It's in the works.
If you chose yes to the speaker reel, put the link to it here.
Is there anything else we should know about what you are looking for?
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By submitting this form, I agree to give my express written consent to Susie Moon Consulting to be contacted via text and phone call, even if this number is a wireless number or if I am presently listed on a National, state, or Internal Do Not Call registry. I understand that I may be contacted by telephone, email, text message, prerecorded voice mail, or mail regarding marketing services, and that I may be called using automatic dialing equipment. I also agree to the privacy policy and terms and conditions, and I understand that I can reply STOP to STOP communications at any time. Message and data rates may apply. My consent is not required to purchase goods or services, and I can call directly using the phone listed on the website.
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Yes, I agree.
No, thanks.
Get Me On Stage!
