ShySpeaks

Booking Form

ShySpeaks is available for a variety of events! Submit this form to begin the booking process; a representative will respond within 2 business days. Note: This form is an invitation, not a confirmation, and helps us gather the details needed to review your request.

Date of Event *

What Time Does the Event Start? *

Ex. 11:30 AM

What Time Does the Event End? *

Ex. 09:00 PM

Event Name *

Venue Name *

Venue Address *

Venue City *

Venue State *

Venue State

Venue Postal Code *

Event Request:

Event Admission

Event Admission

Free
Ticketed
Donation
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Expected Audience *

Expected Audience

0-100
100-250
250-500
500-1000
Over 1000
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Requested Service *

Requested Service

Music
Poetry
Dual Set (Music & Poetry)
Speaking
Panelist
Emcee/Hosting
Emcee + DJ Combo
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Presentation Set Length

Budget for Presenter $ *

Please help us to understand your event. Is there a specific theme/purpose? Briefly share some details with us. *

List any other presenters *

Contact Info:

Your Name *

Name of Your Organization *

Your Role in Organization *

Your Organization Website *

Your Email *

Your Phone *

Would you like to join our e-mailing list? *

Would you like to join our e-mailing list?

Yes
No
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