Perishable PunditP.O. Box 810425Boca Raton FL 33481 Ph: 561-994-1118Fax: 561-994-1610 email:info@PerishablePundit.com
Proposed Date: *
Proposed Time: *
Proposed Travel Dates: departure from South Florida
return to South Florida
Generally departs from South Florida: West Palm Beach, Fort Lauderdale, Miami or Boca Raton Airports. Sometimes Jim's travel schedule dictates other points of departure. Generally Jim flies first class and requires a hotel room with high speed Internet access.
Nature of Presentation: *
Please select all that apply Opening Keynote Closing Keynote Breakfast Speaker Luncheon Speaker Dinner Speaker After Dinner Speaker Present a Workshop Moderate a Panel Participate in a Panel Other, please explain:
Topic of Presentation: *
Jim can use a presentation he has given elsewhere. Jim can use a presentation he has given previously, but not one presented at We would like a presentation specifically for our event.
Estimated Audience Size:
Nature of the Audience: *
Audio/Visual Requirements & Handouts: What would you like Jim to bring? Nothing - AV & Handouts would be inappropriate. Major AV - video, music, multi-screen presentation, etc. A nice PowerPoint with appropriate photos & illustrations. A simple, all-text PowerPoint. Use on-site overhead projectors or easels with paper/markers. Handouts to enhance take home value.
Is the organization sponsoring this event a 501(C)3 (charitable) organization? select one Yes No
What is the venue for the presentation: *
City, State, or Province of the Venue: *
Country of the Venue:
Proposed Compensation or Honorarium:
Coordination: Who is the individual we should work with regarding arranging for this presentation?
Name: *
Organization: *
E-Mail: *
Telephone: *
Fax:
Address: *
City, State, or Province: *
Country:
Zip or postal code:
Additional Comments:
Code *
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