Thank you for your interest in having Jay Jay French speak at your event. Please fill out the form below and we will be in contact with you shortly. (Asterisks denote required fields.)

The reviews are in, and they are raves! Hear what past clients are saying on the Testimonials page.

Point of Contact: First Name: *

Point of Contact: Last Name *

Title: *

Organization: *

Phone Number: *

Email *

Event Title: *

Link to Event Registration Page: *

Link to Organization Web Site: *

Date / Time of Engagement: *

Date

Time

Is this date flexible? *

• Yes
• No

Location: *

• In person
• Virtual

Type of Opportunity: *

• Keynote Speaker
• Panelist
• Panel Moderator
• Other

Please provide background information about your event, including other invited or confirmed speakers, speaker lineup, or other known details. NOTE: We understand that this information may be subject to change; we are looking for high-level guidance on your vision for the entire event and/or panel opportunity. *

Who is your audience? Please specify titles, industries, or other specific characteristics (i.e. entrepreneurs, policymakers, educators, nonprofit leaders, students, etc.). *

How many attendees do you expect? *

Is this a public or private event?

• Public
• Private

Is this event free or is payment required? *

• Free
• Payment Required

Is this event open or closed to the media? *

• Open
• Closed

What information do you need from us in order for you to market/promote your event? Check all that apply: *

• Speaker Bio
• Speaker Headshot
• Title of Presentation
• Other

By when do you need the information above? (MM/DD/YYYY) *

Please check all that apply: *

• The event will be recorded.
• Jay Jay French can have a copy of the recording for post-event promotion and/or editing for use in other videos.
• Jay Jay French can share slides or any other audience engagement tools (polls, etc.) during the speaking event.
• None of the above

If slides are permitted, please select the date by when they should be submitted to the event organizer. *

Is there a technology check before the event? *

• Yes
• No

Are any pre-planning sessions required with the speaker? *

• Yes
• No

Is there any additional information about this event that would be helpful to know?

Submit