Thank you for your interest in having Jay speak to your group. We appreciate your invitation.

About you

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About the Event

Name Of Event


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Venue Name/Type

Size of Audience

Audience Description

About the Presentation

Topic To Be Addressed

Length of Presentation

Date And Time Of The Presentation

Other Expectations of the Speaker

Budget For An Honorarium

Budget For Travel Expenses

Will The Event Be Recorded Or Broadcasted?

Who (If Any) Are The Additional Speakers?

Additional Information