Speaking & Event Form

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Name *

First

Last

Title *

Phone *

Email *

What kind of presentation are you looking for?

How long of a presentation do you want?

Which of the following keynotes were you interested in?

If you had to guess, how many people might be present?

Selected Value: 50

This helps us prepare for any handouts or activities we might do.

Who is the main audience for this presentation?

The stories and examples we use will vary depending on who might be in the room.

What would be a good outcome for your event? *

this in? be

Other Comments

Metamorphosis CCT

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