Booking | Dr. Crystal R. Currie

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Thank you for your interest in Dr. Crystal R. Currie

Contact First Name*

Contact Last Name*

Contact Email*

Phone*

Organization*

Event/Organization Host Name

Date(s) Requested*

Time Requested*

Expected Number of Attendees*

In what capacity would you like Dr. Crystal to serve?*

Keynote Speaker

Virtual Keynote Speaker

Panelist

Virtual Panelist

Breakout Session

Corporate Training

Staff Training

Podcast Appearance

Session or Panel Host

Please describe the nature of the event in detail.*

Location of Event (If in person) - Please include city & state.

Budget*

Will travel/hotel/lodging accommodations be provided?*

Yes

Do you have social media requests (post or live request) for the training/gathering/event? If so, please provide deadline dates and context.

Do you have video or recording requests (post or live request) for the training/gathering/event? If so, please provide deadline dates and context.

Aside from the request above, are there any other requests that you desire to be fulfilled prior to the gathering such as touch point meetings?

Are there any additional needs outside of those listed in the questionnaire?

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