Cel Amade Speaking Request

Thank you for your interest in having Cel speak at your event. 

Please complete the following form.

We'll review your submission and get in touch as soon as possible.


The following information will help us to better serve you and customise what we do to assist in meeting the goals and objectives of your event.


First Name*

Last Name*

Phone

Email Address*

Your job title*

Company/ organisation name*
PLEASE PROVIDE THE NAME, DATE AND LOCATION OF THE EVENT*
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PURPOSE OF THE EVENT?*
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PLEASE PROVIDE THE LENGTH OF TIME YOU WOULD LIKE CEL TO SPEAK*
Which of these speaking formats would be most suitable for your event?
WHAT WOULD YOU LIKE ATTENDEES TO TAKE AWAY FROM THIS EVENT?*
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WHo is in the audience?*

How many ATTENDEES are expected?*

What is your speaking budget*
WHICH ONE BEST DESCRIBES YOUR EVENT? *
If we could do anything to contribute to the success of your event, what would it be?*
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HOW DID YOU HEAR ABOUT CEL? *
 Submit Speaking Request

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