First Name *
Last Name *
Phone #: *
Name of Group:
Set Location Name & Complete address (leave blank if not location is not set yet)
Proposed Event Date:
Length of Yvette’s Talk: Pick one30 minutes45 minutes60 minutes
Presentation Title: Pick oneBuilding Brand YouLiving Your Professional Life on Purpose
# of Attendees Expected:
Will Travel Expenses (if required) Be Covered for Event? Pick oneyesnodiscuss further
Why Do You Feel Yvette Would Be a Good Fit for Your Event?
Anything Else We Should Discuss or Know?