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Thank you for your interest in having TM Lynch Media Group
Company / Organization Name *
Company/Org Website
Contact's Name *
Contact's Phone Number
Contact's Email Address *
Event Location (City, State & Venue) ; If Virtual please indicate in the space *
What day & time are you requesting Robin to speak?
What is the purpose of the event? (Ex: Women's Day, Leadership Training, Empowerment Session, Couples Retreat, etc) *
Who will be in attendance? (Men, Women, Couples, Singles, Leaders, etc)
How many people are you expecting to attend this event?
What are you asking Robin to do for this event? (Ex: Keynote, seminar speaker, panel, etc) *
Do you have a specific theme/topic you would like for Robin to address or would you like to receive a list of Robin's Speaking Topics? *
What is your budget for your requested speaker(s)? *
Is there any additional information you believe Robin needs to know?
