Is this event in-person or virtual? *

In person

Virtual

Event Date *

MM

DD

YYYY

Requested speakers: *

Katherine

Katherine & Jay

Will event organizers cover travel expenses for 2 from Atlanta, separate from honorarium? *

Yes

No

Can we sell books and merchandise at this event? *

Yes

No

Contact Name *

First Name

Last Name

Contact Phone Number *

(###)

###

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Name *

First Name

Last Name

Media type or deliverable *

Check all that apply. Please note that honorarium is optional for all deliverables EXCEPT a pre-recorded video message.

Pre-recorded video message (honorarium required)

Email interview for a written story

In-person interview for a written story

Phone interview for a written story

Video shoot

Photo shoot

Guest article or blog post

Podcast interview

Other

Desired participants

Katherine

Katherine & Jay

Contact Name *

First Name

Last Name

Contact Phone Number *

(###)

###

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