Request Julie Perrine to Speak at Your Event!

Please take a few minutes to complete our questionnaire so we can give you a quote and a value-added proposal that will make your event successful and memorable!

Important note: If your event is in 15 days or less and you would like Julie Perrine to speak, please contact us by phone at (319) 535-0330 for immediate assistance.

Have a speaker cancellation or immediate need? Let us save the day for you! We have several topics that can be personalized and prepared with 12 to 24 hours notice. Contact us for more information.

Group/Organization Name

Website (if applicable)

Name

Address (City, State, Province, Region)

Office Phone

Mobile Phone

Email Address

What Day and Time Did You Have in Mind?

Is there an alternate date possible if the first is not available?

• Yes
• No

Which specific application would you like to focus on?

• Communication
• Productivity
• Innovative Thinking
• Career Development
• Leadership Development
• Time Management
• Personal Branding
• Technology
• Work/Life Balance

How much time (in hours) did you have in mind for this presentation?

Preferred presentation format

• In-person
• Online

Event budget (including travel)

Is this presentation part of a larger event or a stand-alone meeting or seminar?

• Part of a multi-day conference
• Part of a single-day conference
• Stand-alone meeting
• Stand-alone seminar or workshop

Please provide more details on the event (objective, audience, etc.)

Submit