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Purse Doctor Speaking & Training Request Form

Thank you for your interest in hiring the Purse Doctor for your event! Please complete the form.

Contact Information

Organization/Host Name

Contact Name

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Email

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Website (if applicable)

Event Details

Event Name

Date * required

Time

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Audience Size

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Requested Time Duration of Presentation:

Will this event be recorded?

Speaking/Training Request

Preferred Engagement Type:

Keynote Speech

Training

Workshop

Seminar

Panel

Other:

Requested Topic(s):

Budgeting & Money

Debt Payoff

Credit

Homeownership

Investing

Financial Mindset

Business Finance

Custom Topic:

Key Takeaways for Audience:

Q&A Session Included?

Logistics & Budget

Who Provides Presentation Materials?

Will Books/Materials Be Sold?

Is This a Paid Engagement?

If yes, budget:

Are Travel Accommodations Covered?

If yes, details:

Event Branding/Messaging Guidelines (if any):

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