Essential Details
Your Name
Your Email
Date Kare is Speaking
Time(s) of Presentation(s)
City of Presentation
Organization Name
Full Address
Billing Contact
Name
Phone
Email
Billing Address (if different)
Main Meeting Contact
Name
Title
Email
Work Phone
Cell Phone
Other Contact
Name
Title
Email
Work Phone
Hotel where Kare will be staying.
Name
Full Address
Phone
** Please book a room for Kare, direct billed
to you, non-smoking, guaranteed late arrival, king or queen
bed.
Closest Airport
Appx. commute time from airport to hotel
Appx. commute time during rush hour
Suggested mode of transportation airport to
hotel
Whom should Kare call to confirm that she has
arrived; telephone number?
To whom should we email Kare's flight itinerary,
if anyone?
Name
Email
Meeting Information
Name of meeting/conference
Meeting City
Building Name &
"Double Header" Opportunity for Meeting
Planners
Program #1 Information
Title
Date
Starting & Ending Times
To support you in creating the best customized
program description on this topic, please email
us a copy of a past program description. We will attempt
to match it in tone, style, and length.
Deadline for receiving this description?
If you want a custom, camera-ready handout to
reproduce and distribute at the meeting, what is your deadline
for receiving it?
Person who will be introducing Kare.
Name
Title
Phone
Email
May Kare call the introducer prior to the meeting to get
acquainted?
Program #2 Information
Title
Date
Starting & Ending Times
To support you in creating the best customized
program description on this topic, please email
us a copy of a past program description. We will attempt
to match it in tone, style, and length.
Deadline for receiving this description?
If you want a custom, camera-ready handout to
reproduce and distribute at the meeting, what is your deadline
for receiving it?
Person who will be introducing Kare.
Name
Title
Phone
Email
May Kare call the introducer prior to the meeting to get
acquainted?
Helpful Details
Please provide three people for Kare to interview
in advance of the meeting to familiarize herself with your
organization and attendees.
Name #1
Role in Organization
Email
Phone
Name #2
Role in Organization
Email
Phone
Name #3
Role in Organization
Email
Phone
Specific purpose of this meeting
What is your theme?
Size of organization
Number of Attendees
Average Age
% Male
Attendees Make-up
What are your specific objectives / results
desired from Kare's session(s)?
If Kare could wave a magic wand and help your
group do one thing better, what would it be?
What keeps you up at night?
Special jargon or terminology used in your organization,
industry, or profession?
Key issues or terms to avoid?
Would you like to offer your attendees a
long-lasting, low-cost souvenir from the meeting? Consider
giving them Kare's popular, "Make Yourself Memorable"
audiotape of 100 tips or other mementos.
Audio / Video taping of Kare's sessions: You may audiotape
or videotape Kare's session only by prior agreement.
