Speaking Invitation | Dr Candace Jones

SPEAKING INVITATION FORM

Name

Organization Name

Job Title/Role

Email Address

Phone Number

Short City and State

Event Name

Message

Event Date

Alternate Date

Event Location:

Venue/City and State, if applicable

Estimated Audience Size

What would you like Dr. Candace Jones to speak about?

What do you hope your audience will gain from the presentation?

Requested Presentation Format:

Requested Presentation Length

Is there a speaker budget for this engagement?

Please send speaking fee information

Anything else we should know?

I understand that submitting this form is a speaking request and does not guarantee availability or confirm an engagement. We will review the request and contact you regarding availability, fees, and next steps.