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SPEAKING/GROUP REQUEST FORM

First Name

Last Name

Email

Company

Position/Title

How Did You Hear About ArchieMBSFit?

What Topic Would You Like Archie To Speak On?

Is This Event Virtual, In Person, or Hybrid?

Is This A Group or Speaking Event?

How Many People Are Expected To Be In Attendance? * Required

Small Group (<50)

50-100

100-300

Very Large Group (300+)

What Type of Audience Will Be In Attendance? * Required

Students

Health/Wellness & Fitness Practitioners

Health/Wellness & Fitness Enthusiasts

Health/Wellness & Fitness Novices

Other

What Is The Anticipated Date & Time of Your Event? * required

Choose a time

What Is Your Budget For A Speaker For This Event? * Required

<$2,000

$2000-$5,000

$5,000+

Unknown

Please Feel Free To Add Any Additional Notes Or Comments Related To Your Event

Thank You For Your Submission! A Member of The Team Will Contact You!

CONTACT ME

Feel free to contact me via phone or email for further inquiries.

Archie.MBSFit@gmail.com
404-510-1315

Thanks for submitting!

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