Contact Information Contact person * First Name Last Name Contact phone * (###) ### #### Email * Title Organization * Please provide active social media links for your organization. * Event Details 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 for the speaker's honorarium * Event date (please list all possibilities and options for consideration) * Time of event * Morning event Afternoon or lunch event Evening or dinner event All day event Multi-day event Other Please describe the capacity in which you're interested in working with Alex at your event? (Select all that apply.) * Keynote speaker Panel discussion Interview Meet & greet Lunch, dinner, or other private gathering with your event team, board members, or other VIP guests Other Please provide any additional details we should know about your request, your organization or your event. Your Audience Information Please describe your audience demographics. What is the approximate size of your current distribution (readers, viewers, listeners or subscribers) of your audience? Any other relevant comments, questions, or information? Thank you! We will get back to you about your request shortly. Speaking engagementsPlease submit the details of your request below.
