Thank you for your interest in booking Scott Please fill out the form below with as much detail as possible and someone from our office will be in touch with you soon. Please provide us with the details of your event: Your Name Your Phone Your Email Speaking Topic Event Date Specify Time of Event (eg: 7:00PM) Event Location Name Event Location/Address Length of Presentation Needed? Multiple Presentations Needed? Yes No Audience Size Describe the Audience. What do they do? What are Their Challenges? What do They Need to Learn/Take Away from this Session? What A/V Equipment is Available? Will you Film the Event? Yes No Is there Internet Access Avaialble? Yes No Is there a Vendor Table Available for Books/Products Sales? Yes No Are You Interested in Purchasing Books for the Audience? Yes No What is Your Budget for this Presentation? What are the Guidelines for Travel Budget and Arrangements? (Should we book the travel or will your company handle that?) Additional Information