SPEAKING ENGAGEMENTSFor events, submit the form below. Email scheduling@rabata.org with questions. Name * First Name Last Name Organization * Address Address 1 Address 2 City State/Province Zip/Postal Code Country Phone (###) ### #### Website http:// Email * Topic you're interested in * Theme of Event * Date of Event * MM DD YYYY Time of Event * Hour Minute Second AM PM Describe the demographics of your audience * What is the approximate size of your audience? * City of Event * Site of Event * Is this event a fundraiser? * Yes No Does the inviting host agree to cover the required cost of the speaker and one travel companion’s flight, accommodations, and local transportation. * Yes No Does the inviting host offer an honorarium to its gues speakers? If so, please provide details. * Thank you!
