Speaking Interest Form

Want to learn more about booking Tanorria as your next keynote speaker, emcee, or panelist? Please fill out the form below to share more information and Team Tanorria will be in touch!

Name

First Name

Last Name

Phone

(###)

###

####

Website

Event or hosting organization website, if applicable

http://

I'm interested in Tanorria's availability for...

Please select all that apply.

Keynote Speaking

Emceeing

A Panel

Event Name

If there's no official event name yet, please provide a brief description.

Event Location

Event Date

If the event has multiple dates, please provide the date(s) in which Tanorria would be requested.

Event Time

Expected Length of Event Engagement

How long should Tanorria plan to be at the event?

Approximate Event Attendance

For keynote speaking and panels, what topics/keynotes are you interested in?

Additional Details

Please provide other details about the event, including audience, event history, and any other information that might be helpful.

Did anyone refer you? If so, whom can we thank?