Speaker – ERN

Please provide information for the event organizer or person of contact for this event.

Mr.Ms.Mrs.Dr.

Name of contact person *

First Name

Last Name

Please elaborate how you first heard about Ed Norwood or ERN’s Certified Training

Organization

Please provide information about the firm or organization hosting this speaking engagement.

EVENT DETAILS

Please provide information about the event, at which the speaking engagement will take place.

Start date of event *

End date of event *

Date you would like Ed to speak *

Time you would like Ed to speak *

Please enter a brief description of the event and its purpose *

Others speaking (enter ‘none’ if no one else is speaking) *

Will the speaker be paid an honorarium for their time and investment? *
YesNo

Will the speaker be permitted to sell products? *
YesNo

May we have one table to display and sell training products? *
YesNo

Additional details / miscellaneous information about the event

VENUE

Name of venue for the event *

Physical address for the event venue *

Airport Information / Nearest Commercial Airport to your Location *

Will hotel accommodations be provided? *
YesNo

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