Booking Information
All Booking Engagements can be done via email or phone.

FIRST & LAST NAME*

EMAIL*

COMPANY/ORGANIZATION*

PHONE NUMBER*

STATUS OF COMPANY/ORGANIZATION:*

For Profit

Non-Profit

NAME OF EVENT*

DATE & TIME OF EVENT*

PICK TIME

ADDRESS/LOCATION*

TYPE OF EVENT* (EX: BRUNCH, WORKSHOP, CONFERENCE)

THIS EVENT WILL BE :*

In-Person

Virtual

EXPECTED NUMBER OF ATTENDEES*

PLEASE LIST ANY EVENT SPONSORS :

MEDIA: WILL MEDIA BE INVITED? IF SO, PLEASE PROVIDE THE MEDIA LIST.

COST OF ATTENDANCE (PLEASE INCLUDE MEMBER AND NON-MEMBER PRICE, IF APPLICABLE) *

WHAT IS YOUR SPEAKER BUDGET?* (INCLUDE EXACT $ AMOUNT OR RANGE)

HOW WOULD YOU LIKE FOR KIAUNDRA TO CONTRIBUTE TO YOUR EVENT?*

Keynote Speaker

Workshop Facilitator

Trainer

Panelist

Host/MC

Other

HOW LONG WILL YOU NEED KIAUNDRA TO SPEAK?*

PRESENTATION/SPEECH TOPIC PREFERRED* (EX: MENTAL HEALTH, HEALTHY RELATIONSHIPS))

WILL THIS SPEECH BE FOLLOWED BY A Q&A SESSION? *

Yes

No

WILL KIAUNDRA BE ALLOWED TO PROMOTE ANY OF HER PRODUCTS/SERVICES?*

Yes

No

...Let's Discuss it!

WILL TRAVEL ACCOMMODATIONS BE NEEDED?* PLEASE KEEP IN MIND KIAUNDRA IS LOCATED IN LOS ANGELES, CA.

Yes

No

N/A

DEADLINE FOR ACCEPTANCE (PLEASE PROVIDE EXACT DATE) *

HOW DID YOU HEAR ABOUT KIAUNDRA?*

ANY ADDITIONAL INFORMATION YOU WOULD LIKE FOR KIAUNDRA TO KNOW OR CONSIDER?

SUBMIT REQUEST