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How did you learn about my services? *

Referred by colleague

Other

Please share referrer's name: *

Please describe - social media, event, blog, etc. *

How may I help you?

I’m interested in: *

Hiring you as a speaker or inviting you to a media guest interview

Hiring you for a private consultation

Referring to your Video Influencing System Pilot

Hiring you for a different reason (general inquiry)

Is your speaking engagement or media guest interview live or virtual? *

Live

Virtual

Do you have a budget allocated for this speaking engagement or media guest interview? (Note: Some engagements, like podcasts, may not involve a fee but offer exposure.) *

Yes

No

What is your approximate budget for this engagement? *

Why are you interested in having me speak for this engagement? (E.g., exposure, collaboration, etc.) *

What type of speaking engagement or media guest interview are you planning? *

Corporate

Podcast / Interview

Event

Association

Educational

Other

Please specify the type of engagement. *

What is the expected audience size, and who is your target audience (e.g., niche, industry, demographic)?

Audience size: *

Less than 50

50-100

100-500

500+

Target Audience - Please describe: *

Why are you interested in a private consultation with me, and what specific goal or objective are you aiming to achieve? *

My private consultation fee is $1,500 per session. Are you willing and able to invest in this consultation to achieve your goal? *

Less than 3 years

3-5 years

5-10 years

10+ years

Briefly tell me about yourself and why you’re interested in referring someone to the pilot (e.g., your industry, connection to the prospect, or motivation). *

Why are you reaching out, and what specific goal or objective are you aiming to achieve? *

Please click the "submit" button below to send your inquiry. Thank you, Suzanne

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