Contact Us

Use this online form to request speaking and/or workshop engagements.

Click here to print the form and either mail or fax it to our office.

P.O. Box 38301
Richmond, VA 23231
888.737.8809 - Fax

Other inquiries can be directed to info@tanyajones.org.

The Event
Organization Name
Event
Date
Time
Event Description
Event Contact Information
Name
Phone
Email
Speaker Request
Will you need a biography for the speaker?
Yes
No
Will you need a photo of the speaker?
Yes
No
When should the speaker arrive?
How long will the speaker speak?
Will you arrange for parking for the speaker?
Yes
No
Indicate the deadline to receive a response to this request.
Please give a brief description of the role of the speaker, her responsibilities on the day of the event, and the theme of her speech. If this is a key note address or a panel please state these details here.
The Audience
Generally speaking, will the audience be comprised of people from:
If yes, please identify the group.
A specific college?
Yes
No
A specific organization?
Yes
No
A specific industry?
Yes
No
A specific gender group?
Yes
No
A specific career level (entry level, senior level executive, etc)?
Yes
No
A specific age group?
Yes
No
Other?
Yes
No
Please list any other pertinent information about your organization and/or event.
  
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