AMPS | Invite Form

Invite James Amps to speak at your event

Thank you for your interest in inviting James Amps to speak to your group.

We typically need two weeks’ advance notice to consider your request.

It’s important that you complete this form for us to review your request and provide a timely response.

Questions? james@jamesamps.com or call +1 (954) 668-8008

Your contact information ( *Indicates Response Required )

* Organization name

* Your name and title

* Daytime phone

* Email

You will receive a confirmation of this request to this email

* Organization address

* Organization website

Type of request

We invite James Amps to be our:

* Role

If panelist, who else is on panel?

On the following date and time:

* Location of event

On the following date and time:

* Date of the event

* Start time of the event

Please indicate AM or PM

* End time of the event

Please indicate AM or PM

Any alternative event dates you would like us to consider?

Please explain

Event details

* Event title/name

* Subject/theme of event

* Estimated attendance

Describe any invited news media

How is your event being publicized or promoted?

Describe audience members

ex: business leaders, insurance agents, senior citizens. Any VIPs?

Has James Amps spoken to your group before?

Yes No

If yes, approximately when?

Speech details

* Speech topic

* Start time of the speech

Please indicate AM or PM

* End time of the speech

Please indicate AM or PM

* How long for Q&A?

In minutes

* Please provide details of your event, including a draft agenda

How is the room set up?

Podium, tables, theater-style seating, etc.

Logistics

* Who will introduce James Amps?

Name and title

Will a meal be served?

Yes No

Any additional information you'd like to share?