Presentation Planning Questionnaire for Arlene Kaiser
Date of event
Your Name Position Company
Email Address Website Address
Street Address City State Zip Code
Phone Fax
Location of Event Expected Number in Attendance
Is your organization classified as a 501(c) non profit? Select One Yes No
Who have been your past three speakers?
What is your goal for the participants at this presentation?
How did you hear about Arlene?
What is the best way to contact you? Select One Phone Email Snail Mail
Other Comments