WANT TO CREATE AUTHORITY & PROSPERITY?

Yes, Help Me!

No, No Help

SPEAKING REQUESTS

First Name *

Last Name *

Phone *

Email *

Website *

Business Description 1-3 Sentences (who you help, what, how, how much) *

SPEAKING ENGAGEMENT DETAILS

Type of Event - Aka - How will Emilio need to show up? *

What is the length of time you'll need Emilio on stage or for an interview? *

Please provide talking points you'd like Emilio to touch on *

Will Emilio be the keynote speaker on the main stage? *

Audience size/downloads/views of your average last 3 events/podcasts/videos?

Upload Screenshot of Your Podcast Show Downloads

Link To Podcast Or Event *

Link To YouTube Channel

Date of Event/Speaking Engagement? *

It is required hotel and flights to be covered by the event for Emilio and team. Do you agree? *

Yes I Agree

In addition to Emilio do you agree to provide necessary event credentials to the team members (2-3)? *

Yes I Agree

Do you agree to send the raw footage over of Emilio's speech after the event/interview? *

Yes I Agree

Do you agree that Emilio can have media presence on site to video/record for social media accounts? *

Yes I Agree

Do you give permission to Emilio to use the footage at any capacity within his social media accounts? *

Yes I Agree

I understand that in exchange for speaking services fee starting at $15,000 has 50% due at signing and 50% due 2 weeks prior to event date. All payments are in US dollars. The Company may cancel any time until the final payment has been made. Should the speakers become ill or unable to attend for other reasons, all fees will be returned. *

Yes, I understand. I also understand that despite this, they may still not be able to make my engagement, and I will not take this personally.

No, I did not know this and cannot afford to pay it.

I agree to terms & conditions provided by the company. By providing my phone number, I agree to receive text messages from the business.

WANT TO CREATE

AUTHORITY & PROSPERITY

Yes, Help Me!