MOTIVATE YOURSELF BOOKING FORM

Hello once again!

During the 2000-2001 school year, I began my Motivational Speaking career by speaking locally to students in York and Peel Region. Now 10 years later, with a career that has seen me travel around the world, I am preparing to celebrate the 10th anniversary of my career by providing you with a present for your support. I am calling it my 10 for 10 special. Hire me to work with your school/organization for the 2009-2010 school year and you will receive 10% off for my 10 year anniversary on bookings made before 10/10. That's 10 for 10 by 10/10!

Below, you'll find a form that you can fill out if you're interested in booking me to work with your school, conference, camp, sorority, fraternity, or any other event you can imagine. I can provide keynote speeches, but also run workshops for 1/4, half or full day programs. Just fill in all of the information below so that I can properly address your needs and provide you with a price quote within 24 hours. If you do not receive a reply within 24 hours, I have not received your E-Mail, so please follow-up with me directly via E-Mail.

Thank you for getting in touch with me and I look forward to working with you to bring me out to your event!

Your Full Name
Your School Or Group Name
Your Position
Where Did You Find Me From?
What Type Of Event Are You Holding?
Which Program Would You Prefer?
How Many Students Will Be Attending?
How Many Speeches Do You Require?
Would You Also Like My Student Leadership Workshop?
City
Province/State
Postal Code/Zip Code
E-Mail *PLEASE DOUBLE CHECK YOUR E-MAIL*
Contact Phone #
Date Prefered
Interested in having me speak for your feeder schools
Interested in purchasing Motivate Yourself Bracelets for audience particpants?
Comments

TESTIMONIALS

"I wanted to go up solely to shake your hand. You were the most influential motivational speaker I've ever listened to."
---Student, Lakeland High School, White Lake, Michigan; August 28, 2006

MOTIVATE YOURSELF BOOKING FORM

CONTACT INFO:

TESTIMONIALS