Motivational Speaker

Complete this form and we will follow up immediately with a call or email to you.

When is your conference or meeting scheduled?
Date of Presentation
Event Site
What is your theme?
Who is your audience?
What type of business is this organization in?
What size is your group?
What is your topic?
How many programs will you have?
How many speakers are you looking for?
What is the event format you are lookin for?
Length of Presentation	hoursminutes
What type of speaker is needed?
What is your budget?
City being held
Who spoke for you last year?
What did you like or dislike about last year's speaker?
What qualities are you looking for in this year's speaker?

Your Information

Name

Organization

Title

Address

City, State, Zip

Phone

Fax

E-mail Address

Web Site

Comments

We thank you for your interest.

Rob is located in the Pittsburgh, PA area. You may contact him by any of the following.

Phone: (412) 491-0433
E-mail rob@yourmotivationalspeaker.com
Mailing Address:
Rob Oliver
2513 Whitetail Lane
White Oak, PA 15131