Event Title: 
Date of event:
Event time frame:
Name of Organization:
Contact name/title:
Phone:
Fax:
Email:

Event location (include address & city:


Nature of the event (eg. fundraiser, meeting, etc):

What role will the personality play during the event (eg. emcee, guest speaker, moderator, etc):

What is the recommended dress for the event?: ---Select One--- Business Formal Casual Other

How long should the personality expect to stay at the event?:

What should the personality know about your organization and your event to be well prepared?:


Should the personality prepare a presentation? If so, how long?:

What points should the personality be prepared to cover in the presentation? (if applicable):


On-site contact during the event:
Phone number: