Booking Questionnaire Please fill out and submit the following form if you are interested in booking The Optimistic BA. Name * First Name Last Name Email * Phone * (###) ### #### Who will be the direct contact for The Optimistic BA for this event *Please fill in this additional contact information only if it's different from the contact information above First Name Last Name Direct contact's email *Please fill in this additional contact information only if it's different from the contact information above Direct contact's phone *Please fill in this additional contact information only if it's different from the contact information above (###) ### #### Name of Organization * Name of your event * Event date * MM DD YYYY What time would you like The Optimistic BA to speak at your event? Hour Minute Second AM PM How many times would you like The Optimistic BA to speak at your event? * Select One 1 2 3 4+ Describe the event you would like The Optimistic BA to participate in * How many attendees do you expect at your event? * Select One Less than 25 25-100 100-250 250-500 500+ Do I need to register for your event? * Select One Yes No If I am required to register for the event, please provide information for a complimentary registration Will you provide a speaker contract? * *If you answer no, then The Optimistic BA will provide a contract Select One Yes No Will you provide any marketing media for The Optimistic BA to share? * Do you require The Optimistic BA to join and get involved with any social media campaigns for this event? * How did you hear about The Optimistic BA? Select One Mentoring Monday Webinar LinkedIn Facebook Co-worker IIBA Member Saw you at an event Family Other Thank you!
