Apply to be Represented by Speakers Plus!


Contact Info
Web site:
Mailing Address:
Office Phone:
Cell Phone/Beeper:
Best Time to Call: Weekday mornings
Weekday afternoons
Other (Please specify)
About Your Expertise and Experience
List your primary area of expertise:
List Your Top 3 Presentation Topic Titles:
Speaking category:
(Check all that apply)
High achieving women
Voices for Higher™
Workplace productivity
Health/Lifestyle management
Trainers and consultants
Media, politics, and current events
Other (Please specify below)
Years as a speaker:
Fee Range:

$20,000 and above
$10,000 to $20,000
$5,000 to $10,000
$1,500 to $5,000
Below $1,500

Additional Remarks:




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