If you are interested in booking Al Foxx for a "Disabling Disability Myths", "Delighting in Differences", or "Winners Don't Quit", or any other disability awareness presentation, or you have already booked Al, please fill out our Preliminary Questionnaire.

Date(s) of function:

Function name:

Function theme:

Function purpose (eg. Awards dinner, conference)

Most important objective of your function:

Presentation room / area:

Presentation time:

Start:

Finish:

If presentation is during a meal, please confirm exactly which stage it is to be made
(eg. Between salad & main; before breakfast; pre-drinks):

What is happening before Al Foxx's presentation:

What is happening after Al Foxx's presentation:

Dress code for function (black tie?):

The Delegates

How many attendees are you expecting:

Please check if partners are also attending:

Average age:

% of males / females:

General description of audience (sales, retail, management, admin):

Three things you feel are most important for Al Foxx to know about this group:

Who are the senior people / VIP's attending:

What is your budget:
(Required)

How did you find out about this website?
(Required)
 

Any other Information or Questions you may have:

Nice to have
It would really help things along if you could possibly provide all of the following,
if you have already booked Al Foxx as a speaker at your event:      
     Agenda for entire event
     Directions or map to venue

Comments or Questions: