Contact Name * First Name Last Name Date of Event * MM DD YYYY Location of Event * Point of Contact * Email Address * Type of Event * Corporate Small business Organization College or school Church Youth Groups Other Allotted Time for the Speaker * How many minutes? Topic to be discussed * Number of Expected Attendees * Speaking Fee Budget * $ How did you hear about ELITE Life Coaching * Thank you for your request! A member of our staff will be in touch within 2 business days.