Application, interactive

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Your Name: *

Your Email: *

Your Specialized Expertise:

Web site URL:

Today's Date:

Membership payment sent ($99 for one year):

Company name:

Phone:

Cell phone:

Street Address for mailing:

City and State or Province:

Fax:

How did you hear of Commission Free Speakers?

What year did you start getting paid to speak to audiences?

What year did you start speaking to audiences?

What's the largest fee you have received for a keynote presentation not including product sales (not to be published)?

Past audiences you have addressed (specific names):

Awards received:

Languages you can speak fluently:

Tell why this is your passion, how you got started:

Your bio for the meeting planner's programme brochure, introduction:

Titles of your books, CDs DVDs etc that you could sell:

List of your lecture titles and description:

List of your seminar and workshop titles and description:

List of Desired Audiences (be specific):

Testimonials and evaluations from past audiences:

Specific policy and contract terms beyond the ordinary:

Include photo #1:

Include photo #2:

Preferred speaking fees (not for publication):

Lowest acceptable speaking fees (not for publication):

Do you use a written contract? Check for YES, leave blank for NO:

What about negotiating bigger speaking fees yourself is uncomfortable or difficult for you?

Do you want Andrea to negotiate better speaking fees and contract terms for you? Check for YES:

If you don't want Andrea to increase your fees, kind state your reasons and/or concerns:

Commission-Free Speakers

The no-commission SPEAKER AGENCY for up-and-coming speakers eager to entertain, enlighten and inspire audiences.

Promotion, Fee and Contract Negotiation Services for Speakers