Keynote & Presentations Request Form

Thank you for your interest in Isabelle Hampton-Stone's Public Speaking Services.

This form helps us collect all the necessary information 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 Size

Audience Age Group

What are the three biggest challenges that you would like Isabelle to address?

What do you want the audience to take away from this presentation?

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

What is your budget for this presentation?

What stage in the booking process are you at?

How did you get to hear about Isabelle Hampton-Stone's services?

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