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New Year Party Speaker Form

Thanks for considering being a speaker! We will review the form and get back to you. 

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Question 1 of 25

Full Name

Question 2 of 25

Email

Question 3 of 25

Business Name

Question 4 of 25

Full Mailing Address (I love to send snail mail!)

Question 5 of 25

Instagram Profile Link 

Question 6 of 25

Facebook Profile Link

Question 7 of 25

Linkedin Profile Link

Question 8 of 25

I would like to be considered for the following speaking sessions (check all that apply)

(Select all that apply)
A

Workshop (60 Minutes) Pre-Recorded

B

Spotlight (45 Minutes) Pre-Recorded

C

Highlight (30 Minutes) Pre-Recorded

Question 9 of 25

Your Bio (Limited to 250 Words, any longer will be cut at 250)

Question 10 of 25

Upload a SQUARE Headshot

file_upload
insert_drive_file

Question 11 of 25

Title of your Presentation Topic

Question 12 of 25

Describe your proposed topic (150 words or less) (will be used for promotion)

Question 13 of 25

Name of Freebie 

Question 14 of 25

Link to your freebie

Question 15 of 25

Please upload a square image promoting your freebie. 

file_upload
insert_drive_file

Question 16 of 25

The event attendees will have the ability to upgrade to a VIP experience including Party Favors (worth a min of $50 each).

Required for workshop presenters, optional for other speakers. 

Please provide the name of your Party Favor or list NA if not required.

Question 17 of 25

Link for attendees to grab the Party Favor or NA if not required (workshop presenters required, others optional)

Question 18 of 25

If the attendees need a code to download list it here:

Please note all codes need to be valid until March 1st. 

Question 19 of 25

Party Favor Image for promotion SQUARE

Upload a random photo if NA if not required (workshop presenters required, others optional)

file_upload
insert_drive_file

Question 20 of 25

How will you promote the party?

(Select all that apply)
A

Post on Social Media

B

Story on Social Media

C

Video/Reels on Social Media

D

Newsletter Mention

E

1-3 Stand-Alone Emails to your List

F

Podcast Commercial on Your Show

G

Sara as a guest on your podcast discussing goals

Question 21 of 25

Your Email List Size (for our info only in estimating reach)

Question 22 of 25

Are you interested in being a sponsor? 

A

Yes!!!

B

No, sorry.

C

Maybe, send me the details!

Question 23 of 25

Do you have an affiliate program for your offers? If so include details and a link to sign up below 

Question 24 of 25

For promo purposes, list your New Year Resolutions, Word or Theme of the Year, or Bold Goal for 2023. 

Question 25 of 25

I agree to the release of the audio, video & images for promotion. 

 

I understand I will not receive payment for speaking or contributing. 

 

I understand I do have the opportunity to apply for an affiliate link and receive affiliate payments for bundle purchases using my link. 

 

I understand if I am submitting a recording I must include a video, audio file & transcripts. 

 

I understand Sara Mayer Consulting will be selecting the speakers and has the right to reject recording submissions for any reason. 

A

I understand and agree.

B

I do not agree

Confirm and Submit