Event Name*

First Name*

Last Name*

Email*

Website URL

Date of speaking engagement*

Event Time*

Location*

Length of Time on Stage*

Keynote Speaker?*

Please selectYesNo

Business Description (1–3 sentences)*

Talking Points*

Estimated Audience Size (and when confirmed)*

Would you like to use Brian Cunningham to advertise the event?

YesNo

Social Media Links (Instagram, LinkedIn, YouTube, etc.)*

How will event content be distributed?*

Social Media (YouTube, Instagram, LinkedIn, Facebook, etc.)Paid Members AreaRecording for SaleFree Group

Do you agree to cover hotel and flights for Brian Cunningham & Team?

Yes, I agreeNo

Do you agree to provide credentials to Brian Cunningham's team?

Yes, I agreeNo

Will there be PowerPoint access on stage?

YesNo

Do you agree to send raw footage after the event?

YesNo

Do you agree to allow media presence & usage rights?

YesNo

Do you agree Brian Cunningham must approve all content?

Yes, I agreeNo

Other engagements at the event (Q&A, Meet and Greet, etc.)

Agreement & Terms*

I understand that in exchange for speaking services, the Event Organizer fee starts at $5,000 and covers accommodations and flights.I understand this fee is non-refundable and due at booking.I agree to the terms and conditions as stated above.