Book Thembi Bheka: Inspirational Speaker & Business Strategist

Speaker Request Form

Name:

Email Address:

Phone Number:

Organization:

Website:

Event Details:

Event Name:

Event Date(s):

Event Location:

Event Type:

In-Person

Virtual

Hybrid

Audience Information:

Expected Number of Attendees:

Audience Demographics:

Entrepreneurs

Business Leaders

Corporate Professionals

Students

Other: (please specify)

Speaking Engagement Details:

Requested Speaking Format:

Keynote

Workshop

Panel Discussion

Q&A Session

Other: (please specify)

Duration of Speaking Slot:

Topic(s) of Interest:

Empowering Change

Scaling with Ease

Visionary Leadership

Digital Transformation

Unlocking Unique Abilities

Other:

Other: (Please specify):

Event Goals and Objectives:

What are the main goals and objectives of the event?

Logistics and Additional Information:

Is there a budget for the speaking fee? - Yes (please specify) - No *

Are travel and accommodation expenses covered?

Yes

No

Any additional information or special requests?

Referral:

How did you hear about Thembi Bheka?

Website

Referral

Social Media

Other: (please specify)