PICK THE RIGHT KEYNOTE SPEAKER
FOR YOUR NEXT EVENT

To better prepare you for your Free Consultation with Don Andersson, please complete the following form and proceed to the next page.

Please try to identify high priority questions you would like to explore:

	What contributions do we want our speaker to make to our event - success?
	What criterion has been established for deciding on our choice of a keynote speaker?
	What budget should we have to pick the speaker right for us?
	How can we get a greater return on our investment in a speaker?
	What's choosing the wrong speaker going to cost us?
	What can we do to increase the success potential of our event?
	Other:

Here's my situation:

Here's what I want to accomplish:

My contact information:

First Name Last Name E-mail Organization Title Phone Number