Speaker Requests

Organiser name*
First Last
Organiser company*
Organiser email*
Nature of enquiry*
Event name*
Event date/s*
Event type*
Event format*
Will the session be livestream or pre-recorded?*
- Livestream
- Pre-recorded
Event URL
Do you have a speakers fee budget?
Location of event*
Expected number of attendees*
Audience composition*
Agency, C-Suite, media, senior marketer, etc.
Guest speaker choice #1*
Guest speaker choice #2
If your preferred expert is unavailable, are you open to considering one of our other Senior Marketing Scientists?*
- Yes
- No
Other general details*
Podcast URL*
Sample episode URL*
Name of podcast host / interviewer*
Length of interview*
Average views per episode*
Audience composition*
Agency, C-Suite, media, senior marketer, etc.
Is video included?
- Yes
- No
Guest interviewee choice #1*
Guest interviewee choice #2
If your preferred expert is unavailable, are you open to considering one of our other Senior Marketing Scientists?*
- Yes
- No
Other general details*
Suggested topics of discussion*
Please provide as much information as possible.
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