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We agree to engage
____________________________________________ under
the following terms and conditions:
Organization:
______________________________________________________________________
Address:
__________________________________________________________________________
City____________________________________ State_____
Zip_______
Phone:_____________________________________
Fax:__________________________________
Contact
Person:______________________________
Phone:_______________________________
Title:
_____________________________________________________________________________
THE EVENT
Speaker:
______________________
Title of
Presentation:
________________________________________
Theme of
Meeting:__________________________________________________________________
Date:
_____________________Number of attendees:__________
Audience
profile:____________________________________________________________________
Venue:____________________________________________________________________________
Program
start:_______________ Finish________________:
Breaks:___________________
Special
Requirements of Speaker: LCD projector with wireless
remote, screen, small table at front for speaker’s
materials.
Other
Requirements:
_________________________________________________________________
PROGRAM FEES
AND EXPENSES
Program Fee:
____________________________________________________________(plus
expenses)
Deposit:
US$(50% of program fee to be paid upon confirmation
of booking. Balance of fee to be paid to speaker at
event prior to presentation. Check payable to:
Rounds, Miller
and Associates -
EIN
1136793301.
Round trip
airfare full coach:
US$_____________________
(speaker to provide client with
locator#)______________
From:
__________________________________ To
______________________________________
Ground
Transportation:
Includes taxi cabs or car rental to and from event.
Hotel
Accommodations:
Includes meals & gratuities (Billed direct to
client).
Number of
nights:__________________________ Number of
persons:________________________
From
(date)_______________________________To
(date)________________________________
Handouts and
support materials:
Client to order materials 4 weeks prior to event.
Quantities greater than 250 sets will be invoiced to
client after completion of program.
ACCOMMODATIONS
& TRANSPORTATION
Hotel:
_____________________________________________________________________________
Address:
___________________________________________________________________________
City______________________________________
State_________________ Zip______________
Phone:____________________________________
Fax:_____________________________________
Contact
Person:_____________________________
Title:____________________________________
Airport to
arrive at:
__________________________________________________________________
Arrival date
_________________________________Arrival
time:___________________________
Transportation from airport to hotel:
Contact
Person____________________________:
Phone__________________________________
Speaker agrees to
abide by the ethics of the National Speakers
Association at all times.
Speaker:
_______________ Client:
__________________________________________
Date:
______________________________________ Date:
__________________________________ |
