Schedule a Speech

Professional speaking fees apply. The minimum fee must be offered to receive a reply.

Event Contact

*Contact Name:		*Contact Email:

*Office Phone:		Mobile Phone:

Event Details

Event Name:		Event Type (Trade Show, Black Tie Gala, Fundraiser, Golf Outing, etc.):

*Event Date:		*Event Time:
/ / (mm/dd/yy)		:

Event Sponsors

Event Location:

Address 1:

Address 2:

City:

State:	Zip:

*Venue (Ballroom, Suite, Floor, etc.):

*Estimated Number of Attendees:

*Attire:

Will transportation be provided?:		Other Accommodations?:
Yes No

Talent Information

Talent(s) Requested

1st Choice :

2nd Choice

3rd Choice

*Select one and include dollar amount:

Proposed Budget
Honorarium
Hourly Fee

*$ (e.g. $200-500 or $5,000)

*Length of Appearance:

*Talent Arrival Time:		*Talent Departure Time:
:		:

Duties Performed (check all that apply):

Sign Autographs
Take Photos
Emcee
Keynote*
Deliver Speech*
Opening Remarks
Closing Remarks
Auctioneer

Attend Reception
Co-Chair
Play Golf
Film Commercial
Record Commercial
Film/Record PSA
Other

*Please provide the following information

Speech Information

*Event Theme:

*Speech Topic (What issue(s) do you want the speaker to address?):

*Speech Begins:		*Duration of Speech:
:		minutes

*Are there any specific points you want the speaker to mention?

*Does the speaker need to review specific background information or internal documents?

Yes No

*Will you have additional speakers?

Yes No

*If yes, please provide their names and titles here.

Completing this form does not guarantee that your request will be fulfilled. THE MINIMUM FEE TO SECURE TALENT IS $1,500.

Thank you for allowing Darrell Green Enterprises the opportunity to serve your talent needs. We hope we are able to assist you and will acknowledge your request shortly. Although we strive to process and grant all requests quickly, some requests may require several weeks for a reply. A 30% non-refundable deposit of the total amount due is required if your event is scheduled.