Book a speaker - ERG Dynamics

Book a Speaker / Facilitator

First Name

Last Name

Phone

Organization Name

Organization Type

Other (please explain)

How did you hear about Farzana?*

Event/program name*

Event/program theme or topic*

Expected number of attendees*

Event date/potential timeframe*

Event location (city/state/country/virtual)*

Event venue (e.g., hotel, classroom, virtual)*

Will the session be photographed or recorded?

What A/V and equipment is available? (To select multiple Ctrl+Click for PC, Command+Click for Mac)

What type of session are you looking for? (To select multiple Ctrl+Click for PC, Command+Click for Mac)

Describe the participants*

What are the goals of this session? What would success look like for you, your organization, and your attendees?*

Any additional comments?

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Book a Speaker / Facilitator

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