This is a free service. The following information will be data entered into our "celebrity search" database and will be available to potential purchasers of talent. We understand that fees and additional requirements are subject to change without notice.

AGENTS AND MANAGERS: If you wish to submit more than one artist, please submit your first choice, then hit your browser's "Back" button to return to this page. Change the artist's name (and any other pertinent information), then submit again. This will save you from having to refill out the rest of the form.
* Indicates a required field.
1) SPEAKER LAST NAME:*
2) SPEAKER FIRST NAME:
3) GENRE (Motivational, Sales, Self-help, etc..):*
4) TOPIC TITLES:*
5) LENGTH OF SPEECH(ES): (Type N/A if No) *
6) SPEAKER'S FEE FOR ONE-NIGHTER: (Range is OK) *
7) IS FEE COMMISSIONABLE (Yes/No)?:*
8) IF YES, AT WHAT PERCENT (%)?:*
9) TRAVEL REQUIREMENTS (In addition to fee): (City of Origin) *
10) ACCOMMODATION REQUIREMENTS:*
11) GROUND TRANSPORTATION REQUIREMENTS:*
12) TECHNICAL SUPPORT REQUIREMENTS (Rider Requirements):*
13) OTHER REQUIREMENTS:*
14) DOES SPEAKER HAVE A PROMOTIONAL VIDEO?: *
15) SPEAKER WEB-SITE: (Type "No" if none)*
CONTACT INFORMATION

16) PERSON TO CONTACT FOR BOOKING:
*
17) RELATIONSHIP (Artist, Agent, Manager):*
18) PHONE NUMBER:*
19) FAX NUMBER:*
20) SPEAKER ADDRESS (Optional):
21) SPEAKER CITY:
22) SPEAKER STATE:
23) SPEAKER ZIP AND POSTAL CODE:
24) SPEAKER COUNTRY:
25) SPEAKER PHONE:
26) SPEAKER FAX:
27) SPEAKER E-MAIL:
28) EXCLUSIVE AGENT:
29) AGENCY:
30) AGENT ADDRESS:
31) AGENT CITY:
32) AGENT STATE:
33) AGENT ZIP OR POSTAL CODE:
34) AGENT COUNTRY:
35) AGENT PHONE:
36) AGENT FAX:
37) AGENT E-MAIL:
38) PERSONAL MANAGER:
39) MANAGEMENT COMPANY:
40) MANAGER’S ADDRESS:
41) MANAGER’S CITY:
42) MANAGER’S STATE:
43) MANAGER’S ZIP OR POSTAL CODE:
44) MANAGER’S COUNTRY:
45) MANAGER’S PHONE:
46) MANAGER’S FAX:
47) MANAGER’S E-MAIL:
48) PUBLICIST:
49) PUBLICIST’S COMPANY:
50) PUBLICIST’S ADDRESS:
51) PUBLICIST’S CITY:
52) PUBLICIST’S STATE:
53) PUBLICIST’S ZIP OR POSTAL CODE:
54) PUBLICIST’S COUNTRY:
55) PUBLICIST’S PHONE:
56) PUBLICIST’S FAX:
57) PUBLICIST’S E-MAIL:
58) COMMENTS: