Meeting Planners Contact Form

Thank you for your interest in having Speakers Plus! assist you in booking a professional speaker for your event.

We need your basic contact and event details so that we can begin to collaborate with you.

Please complete the form below. Remember to click the "Send the Request" button when you have completed the form.

Alternatively, you can download either a Word or Adobe Acrobat form, and send back as an e-mail attachment to or fax to 757-547-5753. Use whatever format is most convenient for you.

You and Your Organization
Mailing Address:
Office Phone:
Cell Phone:
Best Time to Call: Weekday mornings
Weekday afternoons
Other (Please specify)
About Your Event
Name of Event:
Topic Requested:
Type of Event: Professional Development
Association Meeting/Event
Sales Conference
Executive Retreat/Planning
Other (Please specify)
Location (City/State):
Date of Event:
Speaker Budget:

$20,000 and above
$10,000 to $20,000
$5,000 to $10,000
Below $5,000
Exact Budget:

Additional Remarks:




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