Bookings

Part 1 : Event Organizer
Name of Organization Submitting Request : Event Sponsor(s) :
Coordinator/Point of Contact Name : Email :
Phone Number :
Part 2 : Event Details
Event Name/Title : Event Location :
Event Date : Event Time :  
Event Type : Other Event Commitments :
Part 3 : Presentation/Speech Details
Requested Topic : Presentation Format :
Expected Time Duration : Will There Be Audience Questions/Answers :
Part 4 : Audience Details
Audience Size : Media Attendance :
Will Dr. Turner Lee's be Expected to Engage in Any Interviews? :
Part 5 : Additional Information
Will Dr. Turner Lee Be Required To Pay A Registration Fee?: Is There Travel Assistance :
Is There An Honorarium and If So, How Much? : Will Dr. Turner Lee Be Asked To Sign A Disclaimer or NDA as Part of Her Participation?