This form is intended to give us a place to begin planning an amazing event. Please complete it, including as much information as you are able. Thank you! Your Name (required) Role in the Event (required) Email Address (required) Phone Number (required) Event Name Event Date (required) City State Venue Number of People Attending (Approx.) Please give a run-down of the timeline schedule for the event including how long would you like Bonnie to speak and at what time? Would you like to do a Q&A? If so, for how long? Would you like to do a book-signing following the presentation? If so, for how long? What topics are you most interested in? Might your group be interested in Technology/Productivity training with Vickie Sokol Evans? What are the major job responsibilities of those in the audience/class? What 2 to 3 main things should I know about your group/staff? What is the specific purpose for this event? What makes your organization unique? What is the greatest challenge your organization is facing? What do you want people to walk away from this speech/presentation with? What did your group like or dislike about speakers in the past? If there is an emergency while traveling, whom should we contact? Please give us a two names and cell phone numbers. Any additional questions or comments?