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Pre-Program Questionnaire

Audio-visual Requirement Sheet

Personal Introduction

Publicity Photos

Melanie's Speaker Packet and Demo Video

 

 

 

Pre-Program Questionnaire

Please send any collateral information about your company and event to Melanie to prepare for your engagement. Please fill out all of the fields below. Thank you.

Organization:
Title of Engagement:
Appearance Date:
Your Name:
Title/Position:
Street Address:
City:
State:
Zip:
Phone:
Fax:
E-mail:
Web Site:
Event Location:
Event Address:
Event City:
Event State:
Closest Airport:
# miles from site:
Length of Talk:
Meeting Theme:
Subject Matter:
Number attending:
% Male:
% Female:
Average age:
What are your organization's priorities?
What are your organization's challenges?
What changes have taken place in your organization/industry in the last few years?
What changes do you anticipate in your organization/industry in the near future?
What do you want the audience to think differently as a result of the program?
Feel differently?
Do differently?
How are you planning to reinforce the ideas presented after the program is over?
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Melanie M Mills
Higher Ground Inc.
303-763-0367

        
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