Request For Speaking

Please fill out the form below if you would like to invite Michael and/or Tom to give a talk, lecture, workshop, presentation, or participate in an interview.

* (denotes required field)

Contact Name:*

Email Address:*

Address of Organization:*

Name of Event:*

Date of Event:*

Location of Event:*

Phone Number of Contact: *

Type of Presentation Requested: *

Length of Presentation:*

Size of Audience: *

Honorarium Offered

Anything else you would like us to know about your organization and event

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