Speaker Inquiry

The following form will assist us in considering and preparing for your event. Please complete all applicable information. For questions regarding this form

please call 404-484 4368 or email us at seanjharrisspeaks@gmail.com

Contact Name *

Contact Phone Number *

Emergency Contact - In case Sean is delayed *

Emergency Contact Number - In case Sean is delayed *

How did you hear about Sean J. Harris and The Thousandfold Group, LLC *

Name of Sponsoring Organization *

Street Address *

Address Line 2

City *

State *

Zip Code *

Email Address *

Date and time of Event * +

Event Location *

Describe the nature of event and any specific topics Sean should cover (Theme, Purpose, Etc) *

Are there any sensitive issues that should be avoided? *

Number of people expected to attend this event *

How long will Sean have to speak? *

Date and Time Sean is expected to arrive? *

What is the expected attire for this event (Suit &Tie, Casual, Formal, Informal, Etc) *

Will a representative for Thousandfold Group, LLC be able to set up an information table (before/after the event) and promote Sean's resources such as CD's booklets, Books, DVD's etc. *

What is the budgeted honorarium for this event? *