Keynote and Presentations Request Form


Thank you for your interest in our Public Speaking Services.

This Form helps our team to collect all of the information we need to move forward and meet your expectations.

Name of Company, Event or Organization

Your Name

Your Location (including)

Street Address
City
Province/State
Post Code

Your Contact Number

Your Email Address

Date and Time of Event

Location of Event (including Room Name if applicable)

Desired Length of Presentation

Speaking Topic (Keywords)

Will A/V equipment be available?

Will you be filming the event?

Will there be Internet access available?

Audience Information:

What are the three biggest challenges that you would like addressed?

What do you want them to take away from this presentation?

Audience Age Group

Audience Size

How will you know when your desired outcomes have been achieved?   

What is your budget for this presentation?

What stage are you at?

How did you get to hear about Isabelle Hamptonstone's services?

Please add any other information that will help us to prepare for a discussion together.