Book Dr. Geneva First Name *Last Name *Email *Number *Company/Organization *Name of workshop, seminar, or speaking event *Date & Time of event *Is meeting date fixed or tentative? FixedTentativeAddress/Location of the event *Will travel accommodations be needed? Please be advised that Dr. Geneva is in Detroit, MI *YesNoN/ASpecific content to be covered? *Event sponsor(s) *Expected number of attendees *Will Media Be Invited? If so, Please Provide the Media List. *What is your speakers budget? (Include exact $ amount or range) *How long will you need Dr. Geneva to speak? *How would you like for Dr. Geneva to contribute to your event? *Keynote SpeakerWorkshop FacilitatorTrainerPanelistHost/MCOtherWill this speech be followed by a Q&A session? *YesNoWill Dr. Geneva be allowed to promote her products/services? *YesNoLet’s DiscussDeadline for acceptance (Please provide exact date) *Any additional information you would like for Dr. Geneva to know or consider? *WebsiteSubmit