Event Name

Event Date

Host Company/Organization

Event Time Zone

EX. American/Eastern Standard Time

Event Description

Event Type

What Topic(s) Do You Want Stephanie To Address?

Other Confirmed Speakers

Estimated Attendance

Venue Address (If In-Person)

Address Line 1

Address Line 2

City

State/Province

Zip/Postal Code

Country

Closest Airport

If In-Person

Speaking Time(s)

(If In-person or Live Online)

Speaking Duration

In minutes

If Pre-Recorded, When Is The Due Date For The Video?

Deadline To Respond

Honorarium Budget (USD$)

*Please Note: The Honorarium Budget covers the time and preparation needed to fulfill the requested participation, as well as the time required to travel to and attend your event (If Applicable). It does not include the cost for travel, lodging and ground transportation.*

Contact Details

Name*

Email*

Phone*

Book Stephanie to Speak

We look forward to working with you!

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Stephanie Shabazz