Speaking Request SpeakingRequest Please fill out the full form to ensure an efficient response from Tanya Talaga’s management service. Tanya generally books three to twelve months in advance. Please email any additional background information about the event (brochure, press kit, etc.) that you feel may assist in learning more about your organization and your event. If there are any changes in date, agenda or subject matter, please advise as soon as possible. Any changes or additions on this form MUST be requested and approved in contractual agreement and signed by the speaker.Organization*Organization Address* Street Address City AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Province Postal Code Organization Website* My organization is Indigenous.*YesNoContact Name* First Last Contact Phone*Contact Email* Name of Event*Date of Event* Date Format: MM slash DD slash YYYY Request for Tanya to provide:*Keynote at conferenceKeynote at meetingParticipate on panelKey objectives of event and Tanya's potential contribution:Start Time of Event* : HH MM AM PM End Time of Event* : HH MM AM PM Is the date or time flexible? If yes, please note:How many people do you expect to attend?*20 to 50 people50 to 100 people100 to 500 peopleMore than 500 peopleEvent Venue Name*Event Venue Address* Street Address City AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Province Postal Code Is travel required?*YesNoIf the Event Venue is more than an hour outside of Toronto, then transportation and hotel may be required. Travel is generally booked by Tanya's management service, and the costs will be invoiced to the client. On-site Contact Name* First Last On-site Contact Cell*On-site Contact Email* Consent* I agree to the privacy policy.CAPTCHA
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