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?