• book a speaker

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Speaker budget*
$0 - $1,999 Please fill out the form here
$2,000 - $5,999
$6,000+

Which speaker(s) are you interested in booking?
Craig Kielburger
Marc Kielburger
Roxanne Joyal
Robin Wiszowaty
Louise Kent
Kim Plewes
Michel Chikwanine
Spencer West
Scott Hammell
Raymond Ablack
Russ McLeod
Oliver Madison

Presentation date in order of priority
1st Choice*
2nd Choice
3rd Choice

Event info
Type of event*
Theme
Keynote start time

Company/Association/School
Organization*
Street Address*
City*
Province/State*
Postal/Zip Code*

Who is filling out this form?
Contact Name*
Title/Position
Phone* Ext.
Cell Phone Ext.
Fax Ext.
Email*

Facility information (if different than above)
Venue
Presentation Room
Street Address
City*
Province/State*

Travel
Airport closest to the event*

Audience information
Number of Participants*
Description*
Students
Teachers/Faculty
CEOs
Senior Managers
Middle Managers
Support Staff
Other
What grade(s)
Age Range
Male/Female Ratio of Audience

General Information
Are you interested in Leadership Development Facilitators?
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Are you interested in workshop facilitators for your conference?
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Are you interested in pre-ordering Take Action & Take More Action?
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Are you interested in pre-ordering customized Me to We Style t-shirts for your conference needs?
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