ATigney.Solutions

Request Dr. Tigney Now

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Name: *


First Name	Last Name

Address: *


Address

Address Line 2

City	State	Zip Code

Phone: *

Phone Number

Email: *

Email Address

Event Description

Organization: *

Date Of Event *

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Time Of Event *

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Type of service requested: *

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Theme and supporting information: *

Time alloted for presentation: *

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Location of the event: *


Address

Address Line 2

City	State	Zip Code

Please list the details of your event / request including your desired outcomes

Suggested honorarium is $500.00 - $2500.00 based on the event budget and requirements for speaker. Size and ability of the organization is also taken into consideration as our desire is always to serve. If there are any concerns about the honorarium please reach out to our team.

Budget for Speaker? *

Preparation Requirements

Will there be covid-19 precautions /protocols in place? *

Select all that apply

No, Masks are not mandatory
Yes, Masks are Required
A negative test within 72hrs is required
We will have mic covers and sanitize the mics

Please list other guest speakers / honorees, demographic info of attendees, dress requirements, and any other protocol considerations

Projected (Desired) Attendance: *

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Will the event be recorded *

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Is there capability for slides? *

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Are product sales / announcements allowed? *

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Point of contact for event / Phone *

* required