Speakers Bureau

Excite Your Event Attendees… With A Special Guest Speaker

Whether a specialised event, conference or training session, having the right speaker to enhance your attendees’ experience is critical. Assiduous Way speakers can energise your crowd and make their memories even more special.

Let Us Know the details… we’ll see what we can do to exceed your expectations…and those of your attendees.

Complete all information on the form below and submit it… we’ll respond as quickly as we are able.

Name *

First

Last

Email *

Email

Confirm Email

Phone

Enter the best phone number on which to contact you.

Name of Company/Organisation *

Enter the full and complete of the requesting organisation.

Address *

Address Line 1

Address Line 2

City

--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingState

Zip Code

Enter ALL information for your contact information.

Requested Speaker *

Please enter the name of the person you wish to host at your event.

Event Type *

Describe your Event in detail - up to 20 words.

Date / Time *

Date

Time

Enter the Date and Time of the planned event.

Event Location Name *

Enter the full name of the actual event location.

Event Address *

Address Line 1

Address Line 2

City

--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingState

Zip Code

Enter ALL Information

File Upload

Click or drag a file to this area to upload.

Drag and drop your file containing the additional details of your request here. You may also include event location, syllabus, and other pertinent materials.

Other Event Information

• There is a fee to attend the Event.
• The event is a private affair, not open to the public.
• Attendance at the event is by invitation only.
• This is an educational event hosted by an Academic or Research Institution.
• This is an event hosted by a Political or related organisation, PAC, Political Party, or political campaign.
• The event is free to attendees with all costs absorbed by the sponsoring/host organisation.
• This is an Author Interview, Book review.

Select all that apply to your situation.

Submit