Event Research Questions

Please complete this form with as much detail as possible.

Name
First Last
Email
Title
Client: (company name)
Address
Street Address Address Line 2 City State ZIP Code
Event Theme Name:
Event Twitter Link
Event Date
MM slash DD slash YYYY
Appropriate Attire
- Business
- Business Casual
Audience Information
Brief description of your organization
Meeting Theme & Objectives
Brief Description of the Audience
How Many People will be in the Audience?
Audience Percent Male
Audience Percent Female
What Would You Like the Audience to Take Away from This Presentation?
Describe the Three Major Challenges This Audience is Up Against
Three Movers and Shakers
Please list up to three people who know your organization/industry challenges whom Dr. Freiberg could speak to for research purposes.
Name
First Last
Title
Organization
Cell Phone
Email
Name
First Last
Title
Organization
Cell Phone
Email
Name
First Last
Title
Organization
Cell Phone
Email
Email
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Three Movers and Shakers