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Event logistics

Theresa Hummel-Krallinger of High Five Performance, Inc. does a limited number of discounted or pro bono speaking engagements each year.  If you are interested in having her speak for your event, please complete the following online form.

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* 1. Organization Name:

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* 2. Is your organization 501(c)(3)?

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* 3. Primary Contact Name:

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* 4. Primary Contact email address:

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* 5. Primary Contact phone number:

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* 6. Event website:

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* 7. Location of event (venue name and full address):

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* 8. Date of event:

Date

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* 9. Start time of event:

Time

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* 10. End time of event

Time

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* 11. Start time of speech (my part of the program)

Time

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* 12. End time of speech (my part of the program)

Time
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