Wyevetra Jordan

Real Estate Mogul • Award-Winning Broker • Speaker • Reality Star

"Inspiring Generational Wealth Through Real Estate, Leadership, and Legacy."

Name of Workshop, Seminar, or Speaking Event *

Sponsoring Group *

Name of contact person *

Phone Number *

Fax Number

Email *

Street Address *

City *

State *

Country *

ZIP / Postal Code *

Meeting Specifics

Actual speaking time during each meeting *

Meeting Location *

Is meeting date fixed or tentative? *

Specific content to be covered? *

Specific meeting times *

Will honorarium be given in advance? *

Yes

No

Are there other speakers? *

Number of attendees expected *

Median age of attendees *

What is the theme for your event? *

Are there any special needs you would like us to be praying about in regard to this seminar?

Honorarium (please write a specific U.S. dollar amount) *

Special arrangements needed?

The final day of meetings?

Overnight Accommodations

Hotel Phone Number

Hotel Name

Hotel Address

Logistics

Any Special needs your organization may have when it comes to logistics

Expenses (Meetings less than 200 miles)

Will auto travel of 33 cents per mile be covered?

Yes

No

What is mileage from speaker's hometown?

Can you provide a detailed map?

Yes

No

Expenses (Meetings more than 200 miles)

(Air travel arrangements will be made by Wyevetra Jordan PR unless agreed otherwise)

Position/Title

Please provide the work and home phone numbers of the person above who will be transporting

Will air travel be covered in advance?

What is the length of travel time from airport to meeting place?

Who will transport to/from airport?

Email

Person Completing Form

Name of person completing this form

Address

Phone

Fax number

Note:

After we have sent you a letter confirming all arrangements, a cancellation fee of 25% of the honorarium will be assessed on the party who cancels the engagement. The canceling party will also be responsible for any non-refundable airfare/travel costs or misc. expenses.

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