We’re so glad to hear from you!
Thank you for helping us to better understand your needs!
In order to make sure that you and Melissa are a good fit for one another, please tell us more about your event.
We’ll get back to you with Melissa’s availability as soon as possible after reviewing the info you provide.
[contact-form to=”team@melissacamarawilkins.com” subject=”Speaking Request Form”][contact-field label=”Event Name” type=”text” required=”1″][contact-field label=”Event Coordinator” type=”text” required=”1″][contact-field label=”Contact Email” type=”email” required=”1″][contact-field label=”When do you need a final decision from Melissa?” type=”text” required=”1″]
About the Event
[contact-field label=”What are the date(s) and time(s) you would like to invite Melissa to speak?” type=”text” required=”1″][contact-field label=”Where is your event taking place? (City, state, and specific venue?)” type=”text” required=”1″][contact-field label=”What is the purpose of your event?” type=”text” required=”1″][contact-field label=”Why do you feel that Melissa is the right speaker for your event?” type=”text” required=”1″]
About Your Audience
[contact-field label=”How many attendees are you expecting at this event?” type=”text” required=”1″][contact-field label=”Who is the target audience for your event? Do they share a particular background or worldview?” type=”text” required=”1″]
About Melissa
[contact-field label=”What type of session are you inviting Melissa to provide (keynote, breakout session, stand-alone talk, panel discussion, interview, etc)?” type=”text” required=”1″][contact-field label=”How long will Melissa speak?” type=”text” required=”1″][contact-field label=”Would you like Melissa to entertain a Q&A during this speaking time? ” type=”radio” required=”1″ options=”Yes,No,Undecided”][contact-field label=”What type of message are you requesting Melissa provide?” type=”checkbox-multiple” required=”1″ options=”Motivational: a self-development message providing tools and insight to give audience members permission to be who they really are,Practical: tips and tools to help writers creatives or professionals tell their stories through their work,Inspirational: encouragement and insight to help audiences recognize their connection and worth,Spiritual: a message of belonging and inclusion – appropriate for diverse faith communities”]
About Book Sales
[contact-field label=”How will Melissa’s most recent book be made available to attendees of your event?” type=”checkbox-multiple” required=”1″ options=”the event will purchase books to be given to each attendee as they arrive,the event will partner with a local bookstore to sell books at the event,the event will host a gift shop and sell books directly”][contact-field label=”How many copies of Melissa’s book do you anticipate requiring? ” type=”text” required=”1″]
About Travel & Accomodations
Melissa will fly competitive coach rates out of San Diego International (SAN) airport.
If you are within 3 hours’ drive time of Carlsbad, California, Melissa is open to driving; in that case, travel expenses will include gas and lodging.
[contact-field label=”Melissa is unable to stay with a host or sponsor. A hotel room or private accommodations will be necessary for any overnight stays.” type=”checkbox-multiple” required=”1″ options=”We understand and are happy to accommodate Melissa’s travel and expense needs.,We have questions about travel arrangements.”]
How can we help?
[contact-field label=”What questions do you have for Melissa or for our team?” type=”textarea”][/contact-form]
