Vox Poten Sponsor Questionnaire

Tell Me About Your Desired Event

To better serve you, please answer the following preliminary questions to the best of your ability. You may mouse over certain fields for additional instructions.

* Indicates required field

Requested Speaker(s) *

Name *

First

Last

Email *

Event Sponsor *

Authorized Representative *

Authorized Representative Email *

Authorized Contract Signer *

Authorized Contract Signer Email *

On-site Contact *

On-site Contact Mobile Phone *

Event Title (if known) *

Event Type *

Event City *

Proposed Date(s) or Timeframe *

Venue Name and Address *

Number of Presentations *

Event Description *

Hopes and Intentions *

Proposed Topic or Theme *

Desired Presentation(s) Details *

Anticipated Audience Size *

Audience Profile *

Book or Product sales? *

If sales, by Speaker or Sponsor? *

Will sponsor provide volunteers? *

Book/Product signing? *

Approximate Budget *

Special Notes or Requests *

Submit