Speaking | Mysite

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Please submit the form below to request a speaking engagement with Dr. Farha Abbasi. We will respond back to you with speaking fees and availability.

First Name

Last Name

Email

Phone

Organization Name

Organization Website

Organization Address, City, State, Zip

Venue Name

Venue Address, City, State, Zip

Event Date and Time

:

Is this date flexible?

Yes

No

Event Description (Purpose and details of event)

What type of service are you looking for?

Keynote Talk

Panel

Consulting

Other

Describe Format of Event

In-Person

Virtual

Hybrid

Do you intend to record or live stream event?

Yes

No

Event Attendee Demographics

Estimated Attendee Number

Under 100

100-500

More than 500

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