IF YOU ARE INTERESTED IN HAVING OUR DEAN SUNSERI, HOLLYKEM SUNSERI OR BOTH TO SPEAK AT YOUR EVENT, PLEASE FILL OUT THE FOLLOWING QUESTIONNAIRE AND SEND THE INFORMATION BY EMAIL TO DS@IHAVEAVOICE.COM OR CALL DEAN SUNSERI AT 251-626-5454  TO VIEW SOME OF DEAN SUNSERI'S VITAE CLICK HERE, HOLLYKEM SUNSERI'S VITAE, CLICK HERE.

SPEAKING QUESTIONNAIRE

Date of event: ______________________________________________________________________

Location of event:___________________________________________________________________

Name of organization:________________________________________________________________

Contact person:_____________________________________________________________________

Phone number:______________________________________________________________________

Fax number:___________________________________________________________________________

E-mail:____________________________________________________________________________

Address:_______________________________City:_________________State:_____Zip:___________

Is this a conference, workshop or seminar?___________________________________________________________________________

___________________________________________________________________________________

If this is a conference, do you want us to do the keynote or breakout sessions or both?______________________________________________________________________________

How many people do you expect at the event?___________________________________________________________

How many people do you expect at the sessions?____________________________________________________________

__________________________________________________________________________________

How many people will be presenting at the same time? (Answer if applicable) ________________________________________________________________________________

Who would you like speaking at the event?

[] HollyKem Sunseri [] Dean Sunseri [] Both

(Additional Comment)_________________________________________________________________________

How long are the presentation or presentations? __________________________________________________________________________________

__________________________________________________________________________________

Is there a specific topic that you would like them to speak on?_______________________________________________________________________________

__________________________________________________________________________________

Who is your audience?__________________________________________________________________

Who is the organization sponsoring the event?_________________________________________________________________________

What is the mission of your organization?__________________________________________________________________________

__________________________________________________________________________________

Is your organization a non-profit?______________________________________________________________________________

What is your usual honorarium for a speaker?___________________________________________________________________________

___________________________________________________________________________________________________________________________

Thank you for your interest in the Dean & HollyKem's Speaking Services. Please forward this information to Dean Sunseri by email - ds@ihaveavoice.com , or call 251-626-5454.