Submit an Offer to Book A Speaker for Your Next Event Today

Speaker Offer Form New

"*" indicates required fields

Booking Info

Speaker Start*

Speaker End*

Agent*

Event Sponsor

Your Name*

Company or Organization*

Office Phone*

Cell Phone*

Email*

Website Address*

Sponsor Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Payment Terms

Honorarium*

Deposit*

Deposit payable to GOA Speakers

Balance*

Due to GOA 3 weeks prior to event

Hidden

Percentage

Hidden

Deposit Note

Hidden

Balance Note

Deposit & Balance payable to GOA Speakers.

50% deposit is required unless otherwise agreed upon by agent.

Expense Requirements (Expenses to be provided in addition to the honorarium as described below)

All travel expense to be provided in addition to the honorarium.

Travel*

Meals*

Hotel*

Event Details

Venue*

Theme or Type Of Event*

Same As Sponsor Address

Venue Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Onsite Contact*

Please include the appropriate name and cell phone number.

Hidden

Event Begins*

Hidden

Event Begins*

Event Begins Time*

Event Ends*

Hidden

Event Ends*

Hidden

Speaker Keynote Time(s)*

Please include all presentation times if event spans multiple days.

Event Timeline

Example:
5pm - Doors Open
5:30pm - Speaker arrives
6:30pm - event starts
7:50pm – Speaker Keynote
8:30pm – Event ends

Keynote Length*

Expected Attendance*

Past Speakers

Attire*

Requested Topic*

Recommended Airport*

Merchandising Fee?*

*Only if required by your venue to sell books and product

Amount of Merch Fee

Comments

Example: Book Signing, Meet & Greet, Q&A, etc.

Technical Needs

Sponsor to provide a quality public address system

Other Obligations

With this offer you are stating that you have written confirmation from the venue, all approvals necessary, and understand that a contract and deposit will be required after speaker approval. Upon speaker acceptance, this offer will be contracted and you will be held liable for the terms and conditions of the contract.
No additional events may be added to this agreement without authorization by GOA, Inc.

Please check this box to indicate that you agree to the above terms*

I Agree

Enter your name as electronic signature*

Signature Date*