Speaking Inquiry FormPlease complete the form below detailing event type, date, location, audience, and topics. Our team will review your request and get back to you. Name of Company/Organization Hosting Event Status of Company Nonprofit For Profit Contact Person * First Name Last Name Contact's Phone (###) ### #### Contact's Email * Proposed Event Date MM DD YYYY Start Time * Hour Minute Second AM PM End Time * Hour Minute Second AM PM This event will be... * In-person Virtual Event Location * Please include the name of the venue as well as the street address, city, state, and country (if outside of the U.S.). Type of Event * Expected number of attendees * What is your speaker budget? * (Please do not add commas in the textbox below) $ How would you like Reketta to contribute to your event * Keynote Speaker Workshop Facilitator Trainer Panelist Other How long will you need Reketta to speak? * Presentation/speech topic preferred * Will Reketta be allowed to promote any of her products/services? * Yes No ...Let's Discuss! How did you hear about Reketta? * Will travel accommodations be needed? Reketta is located in Greensboro, NC. * (Please note Reketta will require travel accommodations for any trip over a 3.5-hour driving distance.) Yes No N/A Thank you! We have received your inquiry, and someone from our team will contact you soon.
