Contact

Homeboy goes to Harvard Productions

Voice: 510 530-5820
Fax: 510 482-5330
mrchocolate@earthlink.net

Contact Form

Use this form to send an email message. If you are inquiring about a possible event for your organization, please use the Speaker Consultation Form below. Your name and email address are required.

Speaker Consultation Form

Please provide the following information about your event and speaker requirements and someone will contact you quickly. We ask that you provide as much specific information as possible so we can most effectively serve you. Please provide as much information as possible. The more information you provide, the better we will be able to help you. Your name, phone number and email address are required.

Please Describe Your Event

What date and time is your event scheduled?

City & Site of event or meeting:

What is your organization and/or type of business?

Who is your audience?
(example, gender, age, profession, etc.)

What is the approximate size of your audience?

under 30 | 30 - 50 | 50 - 100 | 100 - 200 | 200 - 300 | 300 - 500 | 500 - 1,000 | 1,000 - 4,000 | 4,000+

How many programs will you have?

How many speakers are you looking for?

Length of presentation(s):
(60 minute keynote, half-day seminar, etc.)

What is your event format?

Please Describe Your Ideal Speaker(s)

List any speakers you are already interested in booking:

What is your budget range for the ideal speaker?

under $2,500 | $3,500 - $5,000 | $3,500 - $5,000 | $5,000 - $7,500 | $7,500 - 10,000 | $10,000 - $15,000 | $15,000+

What effect/impact do you want the speaker(s) to have on your audience?
(examples: educational, inspirational, entertaining, etc.)

What is the theme of your event and describe the issues related to your event that the speaker will need to address?

Please list any additional objectives or needs

Your Contact Information

First Name:		Last Name:
Organization:		Title:
Address:		City:
State:		Zip Code:
Country:
Phone:		Fax:
Website URL:
Email:


	Homeboy goes to Harvard Productions • voice: 510 530-5820 • fax: 510 482-5330 • mrchocolate@earthlink.net \|\| site map Richard Santana, Homeboy goes to Harvard Productions. All rights reserved.