Business Impact Limited

Registration Booking Form for Events/Invitation

Would you like Olatunde Samson to speak at your event ? Get Started !

Your Name *

Your Email *

Date(s) of Event

Type of Event *

Other Speakers

Is he the main speaker?

How many plenary sessions are you requesting Olatunde Samson to speak for?

How many workshops or breakout sessions are you requesting him to speak for?

Schedule and Duration of speaking times (e.g. Plenary Session at 9am on 1/2/09, 1 hour in length)

Are there any particular topics you would like him to speak about in each session?

Estimated number of attendees

Makeup of the attendees (e.g. age range, urban, pastors, business men, etc.)

Organization’s name and mailing address

Contact Person Details( Phone/Fax/Email)

How do you know Olatunde Samson? (e.g. Where and when did you meet him? Who referred him to you?)

Overall purpose of the conference

Location and address of event site

Location of nearest airport to event

Is a photograph and profile of Olatunde Samson required? Yes
No

Are you able to provide hotel accommodations and expenses for a business class flight?

Textbox 20

Would you be willing to advertise Olatunde samson’s resources (books, tapes etc) at your conference?

As part of Olatunde Samson’s commitment to leadership development, he believes in allowing other associates to accompany him to his speaking engagements. Would you be willing to provide travel expenses to accommodate this priority?

Other Notes

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Business Impact Limited

DVD PRODUCTS

BUSINESS IMPACT ACADEMY

Business Growth with Olatunde SAMSON

Books Slide

Samson Award slide

Enterpreneur silde

Registration Booking Form for Events/Invitation