Contact Name
*
First Name
Last Name
What are your pronouns?
Phone
*
(###)
###
####
Preferred Method of Contact (Email or Phone)
Do you have experience planning events? Tell us about the other events as a part of your role!
Organization or Host Name
*
Organization Type
Association / Coalition
Book Festival
College / University
Conference
Corporation
Event Producer / Organizer
Government
Grade School (K-8)
High School (9-12)
Library
Local Community Group
Non-profit
Speakers Bureau
Town Hall
Religious Organization
Writers Conference
Other
Organization Description
*
Please tell us a bit more about your organization and what you are hoping to achieve by booking a speaker for your event. Please also include any notable previous speakers that you've had the pleasure of hosting.
Tell us about the team behind the event! Who will be helping you with this event?
What resources do you have available to support this event (dedicated marketing budget, etc.)?
Event Name/Working Title
*
Event Description/Tentative Itinerary
*
What's the topic or theme for this event? Will there be multiple engagements? Ex: Q&A, book signing, etc...
Date of Event
*
NOTE: If you don't have an exact date, please approximate and indicate event date flexibility in the "Additional Event Information" field.
MM
DD
YYYY
Event Type
*
In-Person
Virtual
Hybrid
Either
Event Format
*
Keynote
Fireside Chat
Author Talk
Panel
Workshop
Other
Open to Recommendations
Time Commitment
*
Please indicate the approximate amount of time that would be required of a speaker for the event (be sure to include time for preparation, rehearsal, etc. where speaker's presence will be required by you or your team).
0 - 1 hour
1 - 2 hours
2 - 4 hours
4 - 8 hours
8+ hours
Event Size
*
Please indicate approximately how many people will be attending this event, including any virtual attendees.
0 - 50 attendees
51 - 100 attendees
101 - 250 attendees
251 - 500 attendees
501 - 1000 attendees
1000+ attendees
Audience Demographics
Will this event be public?
*
Public
Private
Will this event be recorded?
*
Recorded
Not Recorded
To be determined
Recurring Event?
Is this event an annual event or event series? Tell us more about the history and future of this event and/or programming at your organization as this will help your speaker partner know more about your audience.
Book Support
We work with a lot of authors! Do you plan to buy copies of the book or work with a local bookseller for this event? This is important for us to know as it might impact how your invitation is received.
Which event planning element is your highest priority?
Partnering with a particular speaker
Budget
Scheduling
Audience Experience
Which event planning element is a secondary priority?
Partnering with a particular speaker
Budget
Scheduling
Audience Experience
Requested Speaker
*
Recommend someone for my event!
Susan Abulhawa
Kristen Arnett
Davarian L. Baldwin
Trevor Baldwin
Doug Boin
Jasmine Brown
Nicholas Buccola
Raquel Cepeda
Myisha Cherry
Bridgett M. Davis
Patricia Engel
Andrea Freeman
Hafizah Geter
Noah Giansiracusa
Joel Christian Gill
Helon Habilah
Sherine Hamdy
Kai Harris
Lee Hawkins
Britt Hawthorne
Ladee Hubbard
Kathryn Hulick
Priya Huq
John Jennings
Tiffany Jewell
Akemi Johnson
Tony Keith, Jr.
Gloria Muñoz
Amrita Chakrabarti Myers
Sequoia Nagamatsu
Safiya U. Noble
Wendy Pearlman
Jamilah Pitts
Allissa V. Richardson
Layla F. Saad
Matthew Salesses
Danyel Smith
Brando Simeo Starkey
Annabelle Tometich
Siva Vaidhyanathan
Omkari L. Williams
Other Speaker
How did you hear about this speaker?
News
Podcast
Book
Social Media
Newsletter
Referral
Previous Event
Word of mouth
PLM Website
PLM Newsletter
Other
What are you looking for in a speaker for this event? What qualities would be a good match for your audience?
If your requested speaker is an author, have you read their book? Do you need help tracking down a copy of their book/s for you or your team?
Speaking Fee Range
*
What is your budget for supporting your selected speaker?
$1500-$3000
$3000-$5000
$5000-$7500
$7500-$10,000
$10,000-$12,500
$12,500-$15,000
$15,000-$17,500
$17,500-$20,000
$20,000+
Other notes about the appearance fee you can offer:
Travel and Accommodations
*
Typically, the event host covers all travel expenses. If travel is required for your event, how would you prefer to approach travel expenses?
You will book travel and cover expenses on behalf of the speaker.
You will work with an approved travel agency to book travel on our behalf for the speaker.
You are willing to pay the speaker a travel stipend for them to use to book their travel.
You will need a quote for an all-inclusive speaking fee that includes travel.
Are there other unique elements we should know about your event, location, or audience?