If you would like to book Michellene Davis, Esq. to speak at your next event, please complete the form below.
Event Name
Date
Time
Presenter
Organization Website
Event Description
Address *If campus, please specify building
City
State
Zip Code
Onsite Parking Instructions
If Honorees, please attach their bio(s)
Sponsoring Organization(s)
Event Website (if applicable)
Name
Position
Affiliation
Contact Phone Number
Contact Email
Onsite Contact (if different than event contact)
Cell Number
Audience Size
Expected Audience Composition i.e., elected officials, civic groups, church groups, senior citizens, women’s groups, college students, etc.
Audience Demographic
Time Program Begins
Time Expected to Speak
Type of Presentation ---KeynoteEmceePanelWorkshopOther
Event Length
Proposed Topic(s)
Budget for Speakers
Confirmation Deadline
Due Date for Written Materials & Biography
Will this event be ---Members OnlyInvitation/Ticket OnlyOpen to the General Public
Will this event be videotaped? ---YesNo
Will there be media coverage? If yes, list media
How did you hear about Michellene?
