Speaker Name ____________________________________ Date ____________________________

Company name __________________________________ Phone ___________________________

Cell phone ________________________________________ Fax ____________________________

Web site _________________________________________ Email ___________________________

Address ___________________________________________

City _______________________________________ State/Prov ___________ Code ____________

Your area of expertise is _____________________________________________________________

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List your experience as an unpaid speaker (assuming you have not yet received payment for speaking.)

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What year did you start speaking to groups? ______________________________________________

For how many years have you received payment as an independent speaker? ________________

List awards received:

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How did you hear about Commission-Free Speakers?

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What is the largest fee you have received for a keynote presentation? __________________ 

(Your fee info will help us determine which fee categories you can be listed in.)

Insert paragraph: Tell why this is your passion or why you became an expert in this niche.

This paragraph will be used on your full page web page as an introduction next to your photo.

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List your original "information products" to which you own the rights which may be figured into negotiations. Books, booklets, special reports, magazines, video tapes, newsletter, audio tape, other.

Give TITLES AND PRICES.

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Your top LECTURE TITLES are:
1 ___________________________________________________________________________________
2 ___________________________________________________________________________________
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4 ___________________________________________________________________________________
5 ___________________________________________________________________________________
6 ___________________________________________________________________________________
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Your SEMINAR/WORKSHOP TITLES are:

Pease provide 1-2 sentence descriptions and indicate ideal audience.
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6 ___________________________________________________________________________________
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8 ___________________________________________________________________________________
9 ___________________________________________________________________________________
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Specific organizations I would like to address (types and/or specific names):
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2 ___________________________________________________________________________________
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Speaker Fees and Contract Terms

Your FEE information is held in STRICT CONFIDENCE and will not be published. We will use this info to assist you with private advice and contract negotiaton.

Assume these would be for presentations given some distance from your geographic location.

The FEES You CURRENTLY RECEIVE for lectures and seminars are (give high and low):     

Keynote Address (20-30 min.)
Panel Discussion participation

Lectures ...............

20-30 minutes  
30-45 minutes               
60-75 minutes   
90 minutes       
120 minutes 

Workshops and seminars.......

Half day (3-4 hrs)    
Full day (6-8 hrs)  
Two days (12-16 hrs)  
Three days (18-24 hrs)

           Indicate how you wish to be paid: [ ] US funds [ ] Canadian funds [ ] other ____________

 

SPECIAL contract terms, over and above basic terms, I MUST have:   (Don't skip. These are important negotiation points and we can cover these in a private consult or contract critique.)

1 ___________________________________________________________________________________
2 ___________________________________________________________________________________
3 ___________________________________________________________________________________
4 ___________________________________________________________________________________
5 ___________________________________________________________________________________
6 ___________________________________________________________________________________
7 ___________________________________________________________________________________
8 ___________________________________________________________________________________
9 ___________________________________________________________________________________
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Not sure what contract terms to list above? Get my report: 33 Amenities That Speakers Deserve (negotiable contract terms)

Please send the following materials ELECTRONICALLY which will be used to assess your experience as a professional speaker. (Send by email or email attachment, or give us permission to "lift" these from your web site. Please provide page URL.)

[_ ] PHOTO .jpg (head shot and/or action photo: black & white or color)

[ _] Speaker's narrative BIO (not a resume or fact sheet) - 1/2 page maximum

[ _] Description of each LECTURE listed (1-2 sentences, indicating ideal audience)

[_ ] Description of each SEMINAR/WORKSHOP listed (1-2 sentences, indicating ideal audience)

[ _] List of PAST AUDIENCES (no more than 12, preferably in last 12 months)

[ _] Audience evaluations, unsolicited testimonials from letters of recommendation, etc. (3-4)

[ _] 3 speaking contracts from the past 12 months which show fees you have received, even of no fees were received.

 

Insert the text into an email (not an attachment) to Andrea Reynolds: info@AndreaReynolds.com

Also, send by mail:

[ ] Audio or video tape of a recent, actual presentation (not an infomercial or contrived demo). Without this we cannot vouch for you as a speaker or ascertain your level of professionalism.

To: Andrea Reynolds, 359 Geneva Street, Ste. 401, St. Catharines Ontario Canada L2N 2G5

END

Andrea Reynolds, CEO  (905) 938-2791
Canada: 359 Geneva Street, Suite 401, St. Catharines, Ontario L2N 2G5 Canada 
US: PO Box 1106, Lewiston, New York 14092 USA 

Copyright 2005-2006 Andrea Reynolds. I own the rights to my original material posted here. 
Ask me how you can license my material... then you can make some money with my full support.