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Speaking Request Form

Thank you for your interest in booking Janice to speak at one of your events. Please complete the form below, and we will be in touch shortly to discuss your needs.

Client Information

First Name

Last Name

Email

Phone

Company/Organization

What type of speaking event are you interested in hiring Janice for?

Opening Keynote

Closing Keynote

Expert Panel

Presentation/Workshop

On Stage Interview

Podcast

Other

Not Sure Yet

How did you hear about Janice Otremba?

Event Information

Event

Event Location (If known)

Event Date (If known)

Event Website URL (If live)

Proposed Budget (If known)

Approximate number of attendees (If known)

Is there anything else you would like to share with Janice about your event?

Learn strategies for organizational change to drive business growth, development, and success from a top leadership coach, and people and performance catalyst.

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THE PROBLEM
SERVICES
SPEAKING
ABOUT
KUDOS
FREE RESOURCES
CONTACT

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