Speaker Inquiry Form

Thank you for your interest in bringing Mike and Courtney to your stage.

Please fill out this form and we will get back to you shortly.

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Question 1 of 11

Your Full Name

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Question 2 of 11

Your Email Address

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Question 3 of 11

Your Event Name + Website (If applicable)

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Question 4 of 11

Event Date, Location, and Format (In-person / virtual / hybrid)

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Question 5 of 11

Audience Size + Description (Who will be in the room? Couples? Leaders? Entrepreneurs? Mixed?)

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Question 6 of 11

What is the core theme or focus of your event?

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Question 7 of 11

Why does your audience need initiation into Sacred Relationship right now? (What about our message feels resonant or needed?)

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Question 8 of 11

What transformation do you want your audience to experience from this talk?

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Question 9 of 11

What speaking format are you looking for?

A

Keynote

B

Workshop

C

Panel

D

Podcast Guest

E

Retreat Facilitation

F

Other (Please elaborate in the Anything Else We Should Know field)

Question 10 of 11

Budget Range for Speakers

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Question 11 of 11

Anything else we should know?

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