* Required Field

*1. Company Name:

*2. Date of your event:

3. Venue Name and Location:

4. Room at the Venue where
the presentation will take place:

5. Start and End Time of Presentation:

6. Sound Check/Presenter Arrival Time:

7. Event Name or Theme:

*8. Onsite Contact and mobile number:

*9. AV Providers Name and Mobile Number:
(If there is no official AV Provider please give the name and number of the organizer who will be looking after the event logistics)

10. Room Layout:

Caberet
Theatre
Classroom
Open Pods

11. Dress Code:

Casual Smart Casual
Business Evening

12. Approximate audience numbers:

13. Short audience description: (i.e.age,seniority, role in the company, style and expected energy levels)

14. Main desired outcomes for the presentation:

15. Any additional duties you would like the speaker to perform or attend? (i.e. Q&A, media interview, evening function)

16. Anything else the speaker should know to prepare effectively for your event?

17. Name and role of person introducing the speaker:

18. Will you be filming the event?

Yes No