Please fill this form to contact me. I know it seems like a lot of questions, but it only takes 5 minutes.
Your Name (required)
Last Name (required)
Describe of your business or event
Who will I be speaking to?
What is the size of the audience?
What types of hazards are they exposed to?
What are some of their challenges?
Tell me about what excites them the most, regarding their work, product or project* environment?
Tell me three key messages that you would like to have mentioned or covered in my speech.
Any particular sensitive subjects I should stay away from?
Have you had any work related accidents lately?
Please indicate a date when we can discuss this future speaking engagement in detail.
What is the best time to contact you?
Anything else you want me to know?
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