Andreas M Antonopoulos Event Invitation Question Title * 1. Event Contact Email Address Question Title * 2. Event Contact Name Question Title * 3. Date of Event (if known) Date / Time Date Question Title * 4. If Date is not known, please let us now if you have a general time frame in mind. Question Title * 5. Location of Event (City, State/Province, Country Question Title * 6. Name of Event Question Title * 7. Conference Website (if available) Question Title * 8. What is the focus/purpose of this event? Question Title * 9. Event Duration 1/2 day 1 day 2 days 3+ days Question Title * 10. How many attendees are you expecting? Question Title * 11. What type of attendees do you hope will attend your event? Question Title * 12. What is the cost per ticket? Question Title * 13. Will you offer a discount of at least 50% to students? Yes No Question Title * 14. Do you have an anti-harassment policy and if not are you willing to adopt one? (For anti-harassment policies you can review http://geekfeminism.wikia.com/wiki/Conference_anti-harassment/Policy_resources) Yes No Other (please specify) Question Title * 15. Are you committed to having a diverse speaker lineup? Please describe what this means to you. Question Title * 16. In addition to covering business class travel and accommodation expenses, are you offering a speaking fee? No Yes (you must enter an amount or range and specify currency) Question Title * 17. What, exactly, are you asking of Andreas? (select all that apply) Keynote with Q&A (45 -60 minutes) Solo Talk (15-25 minutes) Press Interviews Book Signing Meet and Greet Other (please specify) Question Title * 18. Will you be making any major announcements during the event - such as selling tokens (including utility tokens), launching a new ICO, ICOs, IEOs, STOs or other fundraising by the Event Organizers or Event Sponsors? Yes No If yes, please explain. Question Title * 19. By what date do you need an answer? Date / Time Date Done