Pre-Event Questionnaire

If you have requested LaShawne Holland to speak at your next Corporate Event, please fill out the form below or download Pre-Event Questionnaire and return it to customer_service@lashawneholland.com. A representative will contact you in 3-5 business days to discuss availability.

Download Pre-Event Questionnaire

Company Name *

Point of Contact *

Title

Address *

Email *

Phone *

Alternative Phone

Company Website

Perferred Time of Contact *

Preferred Speaking Date(s) *

Group to be Spoken To: *

Event Location: *

Budget for Speakers? Are Travel & Lodging included? *

Is this request for one event/seminar or a series? Please explain *

Purpose of Meeting: *

What would you like LaShawne to speak about? *

How long would the presentation last? *

Additional Comments: