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APPLICATION FOR SPEAKERS SEEKING REPRESENTATION

Dear Speakers:

We receive many inquiries from many speakers to be represented by BigSpeak Due to this volume, BigSpeak requires speakers interested in having us represent them to fill out the following application. After we review your application, we will invite you to submit your materials to us if you seem a good fit with our firm. Upon acceptance, new speakers will be assessed a one-time processing fee of $200 in order to establish, update and maintain their presence on the BigSpeak roster.

Please note: Due to the overwhelming number of materials we receive daily, we immediately discard all mail from those to whom we did not personally invite to send a submission packet. Should you need a professional to advise you on your marketing or branding needs, please contacthttp://www.speakerlauncher.com.

We will contact you if we find you to be a good fit. Please DO NOT contact us.

Fill in as many as apply (more is not necessarily better):

Speaking Topic 1 & Title 1


Speaking Topic 2 & Title 2


Speaking Topic 3 & Title 3

Speaking Topic 4 & Title 4

Speaking Topic 5 & Title 5

For how many years have you received paid speaking engagements?

What are your current fees for the following?

  • Keynote:
    • Local
    • National
    • International

  • Training/Workshop/Consulting:
    • Half-Day
    • Full-Day

Name at least three clients who paid you to speak to them during the last 12 months.

Client 1

Contact Name

Company
 Phone
 
Email Address
Speaker's Fee

Client 2

Contact Name

Company
 Phone
 
Email Address
Speaker's Fee

Client 3

Contact Name

Company
 Phone
 
Email Address
Speaker's Fee

Client 4

Contact Name

Company
 Phone
 
Email Address
Speaker's Fee

Client 5

Contact Name

Company
 Phone
 
Email Address
Speaker's Fee

What are the titles of the three most recent books you have had published?

Book Title 1

Book Title 2

Book Title 3

Were any of these three books ever listed on the New York Times best-sellers list?





Do you have a video of a talk you gave to a live audience within the last 24 months?



Do you have a professional press kit?



From what city do you typically travel?
 and State


How would you describe your speaking style (check all that apply)?

  • Educational
  • Informative
  • Inspirational
  • Entertaining
  • Motivational
  • Funny
  • Provocative
  • Other

    • Are you currently represented by any other Speaker’s Bureaus? If so, who?

    What else would you like us to know about you when considering your application?

    Your Contact Information:

    First Name :    
    Middle Name :    
    Last Name :    
    Company :    
    Title :    
    Address :    
    City : State : Zip :
    Phone : FAX :
    E-mail address :    
    Web Address :  
    Anti-Spam Validation:
    1 + 2 =* This form will not submit without completion of this field!