Conner Coaching : Workshops

	Speaking Requests
	Contact Name:
	Organization Name
	Mailing Address
	Phone Number
	Email Address
	Event Date
	Event Time
	Event Location
	Event City
	Event State
	Approximate Audience Size
	Audience Profile	Men Women Youth Professional
	Age Range
	Demographics
	Speaker Budget
	Are there any other speakers?
	If so, whom?
	Will this event be videotaped?
	Will this event be audio recorded?
	What services are you requesting? (Keynote, Retreat, Special Event, Panel Discussion, etc.)
	How long would you like for Dorethia to speak?

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2 hours of coaching

1 month of coaching

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