Request for Speaker - National Speakers Bureau

One of the most useful components of our service offerings is the careful consideration of organizational objectives, event criteria and the thoughtful recommendation of specific speakers. We have purposely set up our organization to base our recommendations only on their merit. You may either fill out the relevant portions of the form below and we will respond within 24 hours or you may call and have a conversation with one of our veteran account executives. We can be reached at 847 295-1122.
(* = required field):

First Name*
Last Name*
Organization*
Title
Address 1
Address 2
City, State Zip
Phone*
E-mail*
Web Site URL
How did you find us?
Help us help you identify the perfect speakers by answering the following questions
Are there specific speakers you are interested in or might already be considering?
What is the purpose of your meeting?
Is there a meeting theme?
What do you wish to accomplish with each session?
Session 1 Date, Time	,
Session 1 Goal
Session 2 Date, Time	,
Session 2 Goal
Session 3 Date, Time	,
Session 3 Goal
Session 4 Date, Time	,
Session 4 Goal
What is the audience size?
What is the audience makeup?
Is there any important organization information to consider when selecting a speaker?
Who were some of your past successful speakers and why?
Were there any past speakers who were not ideal and why?
What are your budget parameters?
What would you like from us?
When do you need the requested information?
How would you like us to follow up?