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The Borderless Leader
Keynote Speaker, Author, Entrepreneur
© 2008-2024 David Nilssen. All rights reserved.
Speaking Event Request Form
All fields marked with an
Name of the Organization
Name of the Event or Conference
Theme or Focus of the Gathering
Date of the Event
Time of Event
Expected Number of Attendees
In-Person, Virtual or Hybrid
If In-Person, What is the Event Address?
Exact Number of Hours the Speaker is Expected to be in Attendance, Including Early Arrival or Login, Q&A and Participation in any Pre-Event or Post-Event Meetings and Discussions.
Will this Event be Streamed Live, Recorded or Shared on Social Media?
What is your Budget for the Speaker Slot?
Will Hotel and Travel Expenses be Reimbursed
Is this Event for Profit or Non-Profit?
Which Topic are You Interested In?
Who Else is Speaking and What are their Topics?
Submit Speaking Request