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Coach Tommy Newberry
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Your Next Speaker : Event Request


Thank you for your interest in having Tommy Newberry speak at your next event.  We are confident it will be a huge success and we look forward to partnering with you to ensure you are pleased beyond your expectations. 

We’d like to learn more about your company or group and exactly what you’d like them to take away from our program.  To accomplish this, please fill out the following Event Request.  This allows you the opportunity to give us as much detail as possible so that we can create a program that will best meet your needs.  After receiving your Speaking Engagement Questionnaire, we will call you to clarify our understanding of your expectations.    

Once the event is confirmed, we’ll request a copy of your marketing and promotional materials, and anything else that you feel would help us become familiar with your organization.As the event date nears, we’ll remind you of our audio visual requirements and also supply you with a formal introduction for your presenter to read.  For more information, call an Assistant Coach at 770-319-6311.

Speaking Engagement Questionnaire

Your Information

Company/Organization*

First Name*
Last Name*

Title

Phone*
Fax
Email Address*

Web Site Address

Address

City
State
Zip

Event Details

Who would you like to speak at your event?
Tommy Newberry
Steve Cesari
Both Tommy & Steve

Preferred Speaking Date
Location of Events

Type of Meeting
Desired Topic

Length of Presentation
Occasion

Audience Details

Audience Size
Percentage Male/Female
Average Age of Attendees

Average Income of Attendees
Attendees Will Be Dressed In
Business Attire
Business Casual
Casual/Resort

Additional Info About the Group

Additonal Information

Please identify anyone who will speak either before or after along with their topic.

May we have educational resources available for sale at this event?
Yes
No

What is your budget for this part of the program?

Who referred you?

Please list any other information that will be helpful to our preparation.

Name the contact on day of the event.

List the mobile phone number of the contact on the day of the event.

 

Desired Effect of Tommy/Steve’s Presentation?

Before you submit the Questionnaire, please take a moment to go back over your information and verify that everything is correct.


 

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