Speaking Form – Tikel Davis-Stevens

Speaker Request Form

Contact Person First Name

Contact Person Last Name

Contact Person Email

Contact Person Phone

Host Facebook Handle

Host Instagram Handle

Event Name

Event Website (If Applicable)

Type of Event

Event Type Selection

Virtual Event In-Person

If In Person, Event Location? *

If Virtual, Event Platform?

Requested Date and Time - You Would Like Brittany to Speak *Requested Date and Time - You Would Like Tikel to Speak

How long would you like Tikel to speak

Type of Event

If you selected "Other" for the previous response, please give more details here.

What is the purpose of this event? What are the desired outcome? *

Anticipated Audience Size *

Is there a certain topic you would like for Tikel to speak on? If so, please expound. *

Estimated Speaker Budget *

Note: In addition to your speaking budget, please consider Tikel's required air travel, ground travel, and lodging expenses for the duration of the engagement if the event is in person and outside of the Atlanta area.

Are there any other details you would like to share about your event?

Speaker Request Form

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Step Into Your Purpose.

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Speaker Request Form

Activate Your Confidence. Step Into Your Purpose.

Subscribe To The Confidence Corner

Join The Confidence Corner

Activate Your Confidence.
Step Into Your Purpose.