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Which service are you interested in? *

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Sales mentorship: 1hr session- $500
1hr sessions and monthly group mentorship call $1k
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Company

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Details and Purpose of the Event *

Speaking Budget [MUST input a dollar amount] *

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Event Time *

Estimated Attendee Numbers *

Under 500

500 - 1000

1000 - 3000

3000 - 5000

Event Attendee Demographics *

Will This Event Be Open To The Public? *

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Will Tickets Be Sold For This Event? - Ticket sales must be approved by ETA *

Yes

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Do You Intend To Record Or Live Stream This Event? *

Yes

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Can Products Be Sold At This Event? *

Yes

No

Based on the list above which services would you like to secure? *

40 - 60 Keynote

If Moe is not available are you open to reviewing alternative speakers that are MOE's Certified? *

Yes

No

If your company allocates funds for charity organizations may we send you information about our School Days Foundation? *

Yes

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