Pre-Contact Information 1-2-3

1. Accept Responsibility For:

Speaker Fee, Travel Expenses, Lodging
Pre-Advertising
Duplication of Handout Material
Arrange for book sales
Provide Equipment: 
CD, Podium, Microphone, a large screen, surge protector with three electrical sockets, extension cord, water and a table or cart for an LCD projector and computer which I will bring with me.
Payment is required at the time of the Presentation.

2. Make Initial Contact to Determine Availability of the Speaker and Presentation Costs.

3. Confirm the Presentation.  The speaker cannot confirm a presentation until the following information is received.  Complete and send this registration form that will contain the following information:

Date of Initial Contact
Date of Scheduled Presentation and Time for Presentation
Name of Contact Person.  Include Position & Organization Name
Address for mailing duplication material
Daytime Contact Phone Number
Evening Contact Phone Number
FAX Contact Phone Number
E-Mail Address

Number of Schools/Organizations that will be present for the presentation(s)

Number of people in audience(s)

Name & Address for the meeting place if it is different from the information given in the contact address.

Travel Accommodations: If travel is long distance, name the airport or train station that will be involved.