Pre-Program Questionnaire

I want to customize your program to your organization. Please complete the online form below

Your Information

First Name

Organization

Last Name

Position

Phone

Event Date

Persong Siging Contract

Contract BillingAddress

Start Time for Desi to Speak

Event Address

End Time

Event City, State, Zip Code

What takes place immediately BEFORE Desi speaks?

What takes place immediately AFTER Desi speaks?

Name of person introducing Desi

Who are the attendees (management, sales, executives, etc.)?

Name of CEO, President or Manager of Company?

Number of attendees?

What is the purpose and/or theme for this event? (annual meeting, sales meeting, awards, training, etc.)?

Briefly describe your products and services.

What are some of the major challenges or stressors currently facing your employees?

Key person(s) and phone numbers I can contact to get additional inside information

The name of the conference room/ballroom in which Desi will be speaking

Hotel Desi will be staying in

Closest airport to the hotel:

Confirmation #

Would you like to purchase Desi's books for your team?