INVITE JESSILYN TO BE YOUR KEYNOTE SPEAKER Keynote Speaker Form Keynote Speaker Form Name * Name First First Last Last Email * Phone * Name of your upcoming event * Date of event Website/URL Estimated number of attendees * Please enter a number greater than or equal to 1. What are the demographics of your attendees? * Provide a brief description of the event and it's mission * What is your budget for hiring a keynote speaker for your event? * Will travel and hotel accommodations be covered? * Will Jessilyn have a booth or table to sell her products? * Why do you think Jessilyn will be a great fit for your event? * Anything else you want us to know? * Upload a flyer or promotion information Drop a file here or click to upload Choose File Maximum file size: 64MB If you are human, leave this field blank. Submit
