Questionnaire for Booking Kerin

Please tell us about your needs, interests and event. The information you provide will help Kerin understand what you are seeking to accomplish through his expertise. Please include your company’s overall goals.

Event Date
Time
Event Location
Workshop/Lecture
Primary Audience
What would you like Kerin to accomplish?
How much have you budgeted for this presentation?
Additional comments
Contact Information
Name
Email Address
Phone