| Group Information: |
Organization:
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Event:
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Date:
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Time of our presentation:
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Length of presentation:
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| Type of meeting:
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| If other, please indicate:
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Contact person:
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Contact's title:
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Contact's Phone:
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Contact's Fax:
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Contact's Email:
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Name of person who will introduce us:
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| Introducer's Phone:
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Introducer's Email:
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| On the day of the event, please provide a phone number in case we need to reach you:
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| Program Location: |
City/State:
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Event Site:
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Address:
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Site web address:
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| Meeting room:
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| A/V contact person:
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| A/V contact phone:
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| Event site phone number:
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| Your Program: |
Theme:
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Significance of theme:
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| What are your primary objectives for our presentation? |
| 1.
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| 2.
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| 3.
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| What specific results would you like our program to accomplish for your audience? |
| 1.
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| 2.
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| 3.
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| What are your group’s biggest communication issues? |
| 1.
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| 2.
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| 3.
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| What conditions have impacted your group? |
1.
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| 2.
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| 3.
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| How can we help you solve your current challenges? |
| 1.
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| 2.
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| 3.
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| What jargon should we be familiar with such as acronyms, slogans, phrases, inside jokes, etc.? |
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Key competitors:
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| Your Audience: |
| Anticipated number of people attending:
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| Number of women:
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| Number of men:
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| Typical job titles:
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| How attendees will dress:
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| How you would like us to dress:
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| Attendees we may contact for additional input: |
| 1. Name:
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| 1. Title:
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| 1. Phone:
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| 1. Email:
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2. Name:
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| 2. Title:
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| 2. Phone:
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| 2. Email:
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| Will you have any VIPs in your audience?
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| If yes, who?
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| Will media be invited?
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| If yes, whom?
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| Are other professional speakers on this program?
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| If yes, whom:
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| What traits have you liked/disliked about previous speakers? |
Liked?
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Disliked?
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| Flight Info If We’re Flying to Your Event: |
| Airport:
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| Airline:
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| Confirmation number:
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| First leg of flight: |
| Departure time:
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Arrival time:
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| Return flight: |
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| Departure time:
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Arrival time:
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| Estimated drive time from airport to the site:
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For transportation from the airport to the site, would you prefer:
To have someone meet us at the airport |
| If so, name and mobile phone:
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To have us take a cab
To have us rent a car |
| Is so, rental car company:
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| Rental car confirmation number:
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| Hotel Info If We’re Staying Overnight: |
Hotel name:
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Address:
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Phone:
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Confirmation number:
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| Thank you. We look forward to your program! |
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