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* 1. Full Name

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* 3. Phone Number

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* 4. Organization/Company Name

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* 5. What would you like to engage Nicole Lee for?

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* 6. Length of Engagement

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* 7. If you are engaging Nicole as a speaker, which topic group piqued your interest?

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* 8. Event Title

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* 9. Type of Event

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* 10. Event Focus

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* 11. Is this a public or private event?

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* 12. Event Date and Time

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* 13. Event Location (Address or Virtual Platform)

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* 14. Expected Number of Attendees

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* 15. Type of Audience

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* 16. Will the session be recorded?

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* 17. Specific Requirements or Expectations for Speaking/Hosting/Moderation

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* 18. What is your proposed budget?

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* 19. Additional Information (e.g. event website) or Special Requests

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