Forty Days in Italy Speaking Request

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Speaking Engagement Request

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To request that Anthony Fasano attend and/or speak at your event, please furnish the following information a minimum of 30 days prior to the scheduled date. Your request will be reviewed and we will respond as soon as possible. We thank you for your request and we look forward to meeting you as well as the other members of your organization!

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[text_block style="style_1.png" align="left"]<h4>To request that Anthony Fasano attend and/or speak at your event, please furnish the following information a minimum of 30 days prior to the scheduled date. Your request will be reviewed and we will respond as soon as possible. We thank you for your request and we look forward to meeting you as well as the other members of your organization!</h4>[/text_block]

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Organization*
Contact Person*

First

Last
Phone Number*
E-mail Address*
Month or Date of Engagement*
Length of talk needed*
- 1 Hour
- 2 Hours
- 3 Hours
- Half-day
- Full-day
Are you requesting:*
- In-person engagement
- Webinar
Anthony typically asks that his travel expenses be covered plus he be paid a speaking fee based on the length of the engagement. Does your organization have a budget for the event? (Please note travel expenses are not applicable for webinars.)*

Upon completion of the form, you should hear back from us within 2 business days. If you do not, feel free to follow up with us at 201-857-2384.
Please leave any other information or comments.

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