Please note that all fields followed by an asterisk must be filled in. First Name*
Last Name*
E-Mail Address*
Business Phone
Complete Organization’s Name*
Organization’s Website
Event date
What is the reason/purpose of this meeting?
---Select--- Annual meeting
Awards banquet
Incentive program
Educational
EXPO
Other
Conference Theme
José Luis’ introducer name & title
José Luis’ introducer e-mail address
Starting and ending times for entire program
Starting and ending times for José Luis' program
What takes place before José Luis’ program
What takes place immediately after José Luis’ program (break / another speaker / nothing, etc.)?
Top objective for José Luis’ presentation?
Is there a particular message
Are there sensitive areas to avoid Are there any immediate past, resent or pending issues José Luis needs to be aware of? As a group, what are the top 3 strengths As a group, what areas of their overall working performance are ripest for improvement? Please list any specific industry jargon, in-house buzzwords, phrases/sayings, and/or acronyms applicable to your group that might be incorporated into the presentation Anything humorous José Luis should know about? What is the most recent "buzz" Will you use image magnification (IMAG)?
---Select--- Yes
No
Will José Luis’ presentation be taped?
---Select--- Yes
No
If other speakers are on the program with José Luis, who are they and what are their topics? Number of attendees
Female % and Male %
Age range
Spouses invited?
---Select--- Yes
No
What will the audience be wearing?
---Select--- Suits
Biz casual
Casual
Other
How will they be seated?
---Select--- Theater style
Classroom style
Round tables
Other
To get information about this event and this group in order to better tailor José Luis’ program to this meeting, may he contact the person responsible for calling this event (e.g., the executive who owns and sponsors the meeting, the trade association executive director, etc.)? If yes, please provide us with name and e-mail address Other people valuable for José Luis to interview (top executives, key managers that will be in José Luis audience, etc.) Please provide names with their email addresses Fly into what city?
Recommended mode of transportation
Estimated time
Directions Hotel name and full address Hotel phone number
Confirmation number
Distance from José Luis hotel to the meeting’s venue
Venue’s name and full address Venue's phone number
Meeting room
If problems/emergencies arise on the way to the program, whom should José Luis contact? May José Luis invite a guest to sit on this program?
---Select--- Yes
No
Is there anything else that José Luis hasn’t asked, that you think he should know?
Please enter the word that you see below.
