**speaker enquiry form - please NOTE * DENOTES REQUIRED FIELDS**

*Name

*Job Title / Role

*Organisation Name

*Email Address

*Contact Phone Number

*Requirement - top-line overview incl proposed speaking date/s, duration, audience demographic etc

*Budget - please provide an indication of your budget

Whether corporate, public sector or not for profit, Michael's fees exclude expenses such as travel, hotel accommodation and subsistence. Enquiries are acknowledged within 8-12hrs. The completion of a Speaker Briefing Questionnaire that includes a Desired Outcomes section will determine a firm fee, at which point an Agreement that includes Terms & Conditions of Business between the Speaker, and the Client will be established.

*Nature of Enquiry - In-Person / Virtual / Keynote / Masterclass / Media Enquiry, Service / Product Endorsement

*Source of Enquiry - Word of Mouth, Personal Referral, Internet, Social Media ie. LinkedIn