Speaking - Catalyst Enterprises International

Thank you for your interest in having Michelle to speak at your event/organization.
Please complete the form in its entirety.
A representative will respond to your inquiry within 2 business days.

Full Name:

Email:

Company:

Phone:

Address:

Address Con’t:

City:

State:

Zipcode:

Best Time to Contact (include time zone):

Comments:

Event Date:

Event Location:

Event Start and End Time:

Event Type:

Event Theme:

Length of Michelle’s Presentation:

Speaker Budget:

Will there be other speakers?

	Yes
	No

Audience Size:

Session Needs:

Are you charging admission?

	Yes
	No

Can Michelle offer her products/services to your audience?

	Yes
	No

How did you hear about Michelle?

Would you like to receive our newsletter?

	Yes
	No

**Upon receipt of your request, our staff will confirm your request and submit the official response to your invitation for Michelle to speak. At the time of our response, we will outline event specifics such as arrival time, product table, honorariums/fees, etc. For out of town events, travel and lodging arrangements must be made and the confirmation schedules must be sent 60 days prior to the start date.