BOOKING — Michelle Livingston Thorstad

Please fill out the below form to book Michelle for a speaking engagement or if you have questions and need further assistance.

Name

First Name

Last Name

Name of Organization

Phone

(###)

###

####

Email Address

Type of Presentation

Keynote

Training

Small Group /Break Out Session

Other

Which platform?

Date

MM

DD

YYYY

Location

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Start Time

Hour

Minute

Second

End Time

Hour

Minute

Second

Duration of the talk or event

Number of attendees

Number of sessions

Average age of the Audience

How did you hear about me?

Additional Info