Hire Patrick Casale to Speak Form

Fill The Form Below To Book

PATRICK CASALE SPEAKER REQUEST

Fields marked with an * are required. If you would like Patrick to take part in your event, please fill in your details in this Speakers Request Form below and you will be contacted by a member of our team. Please allow 2-3 business days for us to review your request. If you have an event that is less than 3 weeks away, please email Patrick directly at [email protected] to see if we can accommodate your request.

Event Organizer

Name of Organization Submitting Proposal

Event Sponsor(s)

For Profit/Non-Profit Status *

For Profit

Non-Profit

Event Coordinator Information

Name *

Email *

Title *

Phone Number *

Message

Event Date

Start Time

Event Type *

Budget For The Event *

Presentation/Speech Details *

Presentation Format *

Expected Duration (Hours, Days)

Question & Answer (Will the speech be followed by a Q & A session?)

Yes

Are CEU's Needed?

Yes

Audience Details

Audience (Approximate Size of Audience. + Briefly describe its makeup and if membership is required to attend.)

Honorable Guest(s): Lists names + titles of members of prominence, VIPs, participating in or attending the event.

Media: Will media be invited? If so, will the event be open or closed press? Also, describe and submit the media list.

Additional Information

Deadline for Acceptance

Cost of Attendance: Please include member and non-member price, if applicable.

Form submission[]

Fill The Form Below To Book

PATRICK CASALE SPEAKER REQUEST

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