BOOKING REQUEST FORM This form is for in-person bookings only. For virtual engagements, please click here. Please be advised that due to the extreme demands on Sidney’s schedule, he is unable to accept any pro-bono or significantly discounted opportunities at this time. Thank you for your consideration, and we look forward to contributing to your event! First Name Last Name Email Event Date Is Your Date Flexible? YesNo Which Service Are You Interested In? —Please choose an option—40-60 Minute Keynote Phone Company Company Website Venue Name Venue Address Venue City Venue State Venue Zip Mailing Address Details and Purpose of the Event Speaking Budget Event Time Estimated Attendee Numbers * Under 500500-10001000-30003000-5000 Event Attendee Demographics Will This Event Be Open To The Public? YesNo Will Tickets Be Sold For This Event? YesNo Do You Intend To Record Or Live Stream This Event? YesNo Can Products Be Sold At This Event? YesNo Based on the list above which services would you like to secure? 40 - 60 Keynote
