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Book Dr. Jolly

Speaking Inquiries

Please fill the form below and we will get in touch.

1. Name *This question is required.

2. Email *This question is required. This question requires a valid email address.

3. Organization / Company *This question is required.

4. Event Description

5. How will Dr. Jolly participate? *This question is required.

Please enter an 'other' value for this selection.

6. How many people are expected on the Panel? This question requires a valid number format.

6. What information would you like presented at your event?

7. Which of the following target markets will be the center focus of the event?

Space Cell	Ages 0-25	Ages 26-40	Ages 41 - 62	Elders
Men	Men: Ages 0-25	Men: Ages 26-40	Men: Ages 41 - 62	Men: Elders
Women	Women: Ages 0-25	Women: Ages 26-40	Women: Ages 41 - 62	Women: Elders
Business Owners	Business Owners: Ages 0-25	Business Owners: Ages 26-40	Business Owners: Ages 41 - 62	Business Owners: Elders
Faith Leaders	Faith Leaders: Ages 0-25	Faith Leaders: Ages 26-40	Faith Leaders: Ages 41 - 62	Faith Leaders: Elders
Professionals	Professionals: Ages 0-25	Professionals: Ages 26-40	Professionals: Ages 41 - 62	Professionals: Elders
Financial Advisors	Financial Advisors: Ages 0-25	Financial Advisors: Ages 26-40	Financial Advisors: Ages 41 - 62	Financial Advisors: Elders
Non-Profit Leaders	Non-Profit Leaders: Ages 0-25	Non-Profit Leaders: Ages 26-40	Non-Profit Leaders: Ages 41 - 62	Non-Profit Leaders: Elders
Community Wealth Builders	Community Wealth Builders: Ages 0-25	Community Wealth Builders: Ages 26-40	Community Wealth Builders: Ages 41 - 62	Community Wealth Builders: Elders

8. Dr. Jolly enjoys integrating your requests with her own research, books she has written, or a topic of interest she can explore.
Which of the following topics best aligns with your speaker request:

9. Date of event: *This question is required. This question requires a valid date format of MM/DD/YYYY.

calendar

10. Audience Demographic

11. Start time of event *This question is required.

12. End time of event *This question is required.

13. What length of time do you desire Dr. Jolly to speak? This question requires a valid number format.

14. Expected number of attendees This question requires a valid number format.

16. Location of Event (Facility Name)

17. Facility Address *This question is required.

18. Point of Contact Name *This question is required.

19. Point of Contact Phone Number *This question is required. This question requires a valid number format.

20. Point of Contact Email *This question is required. This question requires a valid email address.

23. What is the Speaking fee or honorarium?

23. Honorarium amount? This question requires a valid currency format.

23. Given that your budget does not allow for a speaker's fee (which is Dr. Jolly's customary requirement), she requests that you purchase at least 10 books at the discount rate of $25.00, which she will sign at the event. A link for you to order these books will come after our scheduled call to discuss the event.

23. Will you be purchasing Dr. Jolly's Book, "The NarrowRoad™: A Guide to Legacy Wealth," for some or all of the audience?
Bulk discounts are available and will be discussed in the call with Dr. Jolly.

23. How many books will be purchased? This question requires a valid number format.