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Speaker Request

Thank you for inviting us to speak at your event. Please answer the questions below to help us understand your expectations and confirm our availability.

Speaking Engagement Request Form

Event Primary Contact

First Name

Last Name

Office Phone Number

Personal Phone Number

Event Details

Please describe your event

Host organisation

Address of host organisation

Our role for the speaking engagement

Trainer

Host/Facilitator

Keynote Speaker

Moderator

Panelist

Presenter

Participant

Other

If other, please specify

Start Date

End Date

Theme of speaking engagement

Time slot of speaking engagement

Venue name and address

Expected number of participants

What would you like to achieve at the event?

What are some of the problems/challenges/successes experienced by your organisation and the expected participants?

How did you first hear about us?

Facebook

Twitter

Word of Mouth

Live Event

Internet Search

Other

If other, please explain

Any other relevant information?

Take the next step

Discover how our services can benefit you.

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lukman@plenipotent.com.ng

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+2348122465727

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