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The following questionnaire will assist us in suggesting and preparing a presentation that will fit your event theme and company requirements.

Please complete all applicable information:

CONTACT INFORMATION

Your contact information is private and confidential and will be retained exclusively by us for essential communications with you.

* Required Fields are in BOLD

Your Name:
  
Title:
  
Company/Organization:
  
Brief Description of your Company:
  
Email:
  
Address 1:
  
Address 2:
  
City/Town:
  
State/Province:
  
Zip/Postcode:
  
Country:
  
Home Phone:
  
Work Phone:
  
Fax:
  
Website:
  
Best time for our office to reach you:
   M-F 9am-5pm
 
    Weekends
Cut-off date to book speaker:
  

THE EVENT

Event Title:
  
Event Description:
  
Event Dates & Times:
  
Event of Speaker Theme(s):
  
Speaker Appearance
Date/Time(s):
  
Type of Meeting/Conference:
  
(awards, annual, training)
Specific objectives for
speaker presentation:
  
James Bayfield's role in
the program:
  
(opening or closing keynote, seminar or luncheon speaker, etc.)
Sensitive issues to avoid in presentation:
  
Will attendees be eating during James Bayfield's presentation?:
   Yes
  No
Will there be coffee/lunch break before or after James Bayfield's presentation?
   Yes
  Yes
 
Will James Bayfield be granted promotional opportunities at event?:
   Yes
  No
     
Who will be the master of ceremonies?:
  
(name & title)
Who will be introducing James Bayfield?:
  
(name & title)
List additional professional speakers & topics:
  
List professional speakers you have used in the past:
  
Specific like/dislikes about their performance:
  
     
     

AUDIENCE/ATTENDEE ANALYSIS

Number of expected attendees:
  
Number of booked attendees:
  
Are Spouses invited?:
   Yes
  No
Percentage of males versus females:
  
Average age of attendees:
  
Average income of attendees:
  
Attendee positions:
  
(sales, marketing, managers, etc.,)
Main company/association concerns/frustrations that you would like to see change and improve:
  
     
Area your company would like to improve:
  

AUDIENCE/ATTENDEE ANALYSIS

Main things we should know about your company/group:
  
What your company does:
  
Target markets/industries for your organization:
  
Your average customer:
  
The primary product/service that you sell:
  
Your major competitors:
  
Additional comments or information that would be helpful in tailoring this presentation for your group:
  
     
   
 
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Our curriculum is a vocational in nature and is intended for the purpose of the accumulation of wealth by, and the personal enrichment,
development and enjoyment of our students.

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