In-Person Event Detail Questionnaire

Point of Contact Name *

Point of Contact Phone Number *

Point of Contact Email Address *

Event Date *

Event Time Zone *

Speaking Duration *

Venue Name/Address *

Room (Where Rochelle will be Speaking) *

Event Theme *

Purpose of the Event *

Speaking Budget

3 Major Things You Would Like the Audience to Takeaway from the Event? *

How did you hear about Rochelle? *