Request a Speaker

Please take a moment to fill out this form so we can help you with your request.

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*Your Name:
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*Email:
Company/Association:
Date of Event (or potential date):
Event Location (city, state):
Event Venue:


Speaker Format (tick as many boxes as required):
Keynote Speaker
After Dinner Speaker
Training
Entertainment
Workshop
Other
Requested Speakers:
Speaker Topics Needed:
Have you worked with Claxton's before?    Yes  No
Budget range:
Additional Comments:

 Please keep me informed of new speakers and industry news