BOOK LAURIE | Laurie Burton Training

If you would like to book Laurie Burton for an upcoming event, please fill out this form and we will get in touch with you shortly.

Date*
MM slash DD slash YYYY
Name*
First Last
Organization's Name*
Website
Name of Event*
Date of Event*
MM slash DD slash YYYY
Time of Event

:
Event Location
(i.e. building or location name)
Event Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Contact Person's Name (if different than above)
First Last
Contact's Phone*
Contact's Email*
Budget Amount*
Audience Size*
Proposed Topic(s)*
Length of Presentation
(requested time length if known)
Presentation Format
(i.e panel, speech, roundtable, etc.)
Will this event be recorded/video-taped?*
- Yes
- No
- Not sure at this point
Additional Comments
Email
This field is for validation purposes and should be left unchanged.