Booking Form
Email
First Name
Last Name
Phone Number
Company Name
Name of Event
Date
Event Time
Tell us more about your event.
What service would you like to book?
Educational Seminar
Guest Speaker
Interactive Workshop
Other
What topic would you like covered?
Describe you target audience.
How will the event take place?
In Person
Virtually
Other
Name of venue and address
How many guests/viewers do you anticipate?
How long would you like Erica to speak/engage with your audience?
0 - 30 minutes
30 minutes - 1 hour
1 hour - 2 hours
2 hours - 3 hours
Half Day (3 hours - 4 hours)
Whole Day (5 hours - 8 Hours)
Other
What is your speaking budget?
How did you hear about Erica Lanes?
I heard her speak at an event
Internet Search
Social Media
Family/Friend
Other
If other, please list below
Is there any additional information you would like to share?
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