Booking Denia Briggs

Thank you so much for your interest in booking Denia Briggs. Please complete the following form, click the SUBMIT button, and we will contact you shortly for confirmation and arrangement details.

Speaking / Booking Request

About You

Your Name:

Your Position / Title:

Your Telephone Number:

Your Fax Number:

Your E-mail Address:

Host Organization

Contact E-mail Address:

Organization Website URL (if applicable):

Organizational Telephone Number:

Mobile Telephone Number:

Fax Number:

Physical Address:

City: State/Province:

Country:

Postal Code:

Meeting Facility Information

Location of meeting (if different from above):

Physical Address:

City: State/Province:

Country:

Postal Code:

Engagement (Schedule/Information):

Requested Date(s):

Requested Time(s):

What Type of Event?:

Theme of Event?:

For Advertising Purposes, Will Registration Fee Be Charged?:
Yes
No

If Yes, What Amount?:

Average Number of Expected Attendance:

Total Occupancy of Meeting Facility?:

What Type of Advertising Will You Do?:

Travel Accommodations

Due to the nature of Denia Briggs’ frequent travel schedule, we will arrange her airline reservations and ask that reimbursement be made for her and her assistant’s airfare.

Nearest Commercial Airport to Meeting Location:

Approximate Driving Time from Hotel to the Meeting Facility:

Suggested Hotel Accommodations

Hotel Name:

Hotel Address:

Telephone Number:

Fax Number:

Name of Restaurants in the Area:

Product Sales

Will Denia Briggs be permitted to sell products?:
Yes
No

If So, May We Have At Least Two (2) Tables to Display Products?:
Yes
No

Can You Provide At Least Two (2) Volunteers to Help Work the Tables?:
Yes
No

Any Miscellaneous Information You Would Like to Provide?:
Yes
No

Additional Details: