Visit our Facebook
Visit our Instagram
Visit our Twitter
Home
Podcast
Meet Cathy
Emcee
Keynote Speaker
Workshops
Contact
Event Request
BECOME
A MEMBER
Event Request
Contact Name
*
First
Last
Contact Phone
*
Contact Email
*
Event Name
*
Organization Name
*
Event Date
*
MM slash DD slash YYYY
Event Start Time
*
:
HH
Minutes
AM
PM
AM/PM
Event End Time
*
:
HH
Minutes
AM
PM
AM/PM
Event Location
*
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Event Attire
*
Black Tie
Business
Business Casual
Purpose of Event
*
Audience Details
*
Who will be attending? Are there any guests Cathy should be aware of?
Do you have a speaker/facilitator budget for this event?
*
Yes
No
Estimated Attendance
*
Is the event open to the press?
*
Yes
No
Attending Media
Please list names of any confirmed or expected media attending.
Will the event be live-streamed or posted online?
*
Yes
No
Event POC Name
*
First
Last
Onsite POC Name
First
Last
If main event POC will not be present, please provide an on-site POC.
Event Setup
*
Please describe how the event will look (head table, lectern, etc.).
Seating Arrangements
*
Indicate where Cathy will sit, who will be seated with her, etc.
A/V Tech
*
Please describe the A/V setup
Cathy's Role
*
Please describe the expectations you have of Cathy for the event (brief remarks, keynote address, workshop, etc.)
Cathy's Introduction
*
Please tell us who will introduce Cathy (name, title, role, etc.)
Agenda
Please provide the event agenda. NOTE: You may upload a PDF of the agenda below if that is more convenient.
Agenda Upload
Accepted file types: pdf, Max. file size: 20 MB.
Upload a PDF of the agenda if not providing it in the box above.
Bio and Headshot
*
Yes
No
Do you need a bio and headshot of Cathy?
Additional Info
What othear details does Cathy need to know about this event?
Please provide any additional documents (e.g., news articles, promo materials, etc.) via email: events@cathylewis.com.
Knowing more about the issues that shape the 757 empowers us to create the kind of community that works for us all.
HOME
Meet Cathy
Podcast
Contact Cathy
BOOKING
Keynotes
Workshops
Emcee
Book Cathy Now
Privacy Policy
Built and Managed by Doebank Designs
Visit our Facebook
Visit our Instagram
Visit our Twitter
linkedin
facebook
pinterest
youtube
rss
twitter
instagram
facebook-blank
rss-blank
linkedin-blank
pinterest
youtube
twitter
instagram
