Volunteer Information

JOHN BONGIORNO SPEAKING ENGAGEMENT REQUEST

Thank you for inquiring about inviting John as a guest speaker. To assist us in better serving your needs, please complete the following survey form at your earliest convenience.

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Contact Information

WorldServe Speaker's Name

Organization Info

Organization Name

What is your Organization Type

Organization Address

Organization Address 2

Organization City

Organization State/Province

Organization Zip Code

Organization Phone

Organization Email

Host Information

Event Host Name

Event Host Phone Number

Event Host Email

Contact Information

Contact Person Name

Contact Person Phone

Contact Person Email

Event Information

I would like to request John as a:

How many times is John speaking?

Add John's schedule

Are there facilities available to display a slide presentation or video during the event:

What time does the session/event start?

What time should John arrive for the session/event?

What is the dress code?

Is there a speaking time limit?

What is the age of the audience?

Travel Information

What travel expenses will be reimbursed?

What is the nearest airport?

Are you willing to reimburse the costs of a travel companion?

Who is responsible for booking the housing?

Hotel Name:

Hotel Address:

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