Name of Organization
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(If more than one event, please fill in individual forms for each)
Event Start Date
Event End date
Please specify the event’s format
Keynote Training Workshop
Is this event
(Answer only If Ticketed) Is the Event going to,
Make profits Cover Costs
The Audience will be:
Employees Top Tier Executives Toastmasters Mixed Open to Public
Available audio-visual equipment
Podium Microphone Screen Projector Other
Theme of event or Expected Topic of Discussion
Expected duration of Speech / Workshop
Expected number of members / guests in the audience ?
Any other Speakers / Officials attending the event
If yes, please provide details
Is there a Speaker Budget you are trying to meet ? Please specify.
Please provide details on Travel & Accommodation arrangements.
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