Speaker Request Form Request Marsha to speak at your event. Complete and submit the form below. If you are a human and are seeing this field, please leave it blank. Fields marked with an * are required Full Name * Title * Organization * Organization/Event Website * Your Phone Number * Email * Event Type * Workshop/Conference Mutli-Day Retreat Telesummit/Online Event Event Date * Event Location * Marsha's Speaking Session * Keynote Workshop/Breakout Session Panel Audience Size * Speaker Budget * < $1,000 $1,000 - $3,000 $3,000 - $5,000 $5,000+ Travel/Lodging Budget * Is there an admission fee for attendees of your event? * Yes No Can Marsha offer tailored products or services to your audience? * Yes No Let's Discuss Is there any specific topic that you'd like Marsha to address with your audience? * Thanks for your interest in having Marsha speak at your event! You will receive confirmation of your request by email within the next 48 hours. If your event is a great fit, we'll send over a speaker's packet and also contact you by phone or email with additional questions concerning the logistics of your event, including agenda, speaker resources to be made available to your audience, travel and lodging arrangements, speaker fees, etc. Marsha looks forward to working with you!