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Thank you for your interest in our Speaking Services. 

Please complete the following form to request Siobhan or one of our associates as a speaker for your conference or event.
Please give ample time for a speaking engagement (2 months notice preferred).  All requests generally receive a response within two weeks.

Questions can be directed to info@questcoaching.com or to our offices at 631-277-8880.

A note about fees The requesting organization is asked to pay an honorarium. The amount of the honorarium is based on preparation and presentation time. The requesting organization is also asked to reimburse Quest Coaching International for the speaker's travel, food and lodging expenses. 

Conference Information

Conference/Event Title:

Conference Theme:

Event Date:

Event Time:
Location:

Tell us about the audience:

Expected audience size:

What outcome would you like from this speech?
Event URL:

Speaker Information

Requested topic:

How did you hear about us?
Format:
Other information that will help us evaluate your speaker request (other attendees, expected media coverage, past speakers, etc.):
Contact Information
Name:
Organization:
Phone:
Fax:
Email:

 

 
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