Speaker Request Form

Kelly's Impact Photo Collage (1920 x 1080 px).jpg

Complete the following form to invite Kelly to speak at your event

Name

First Name

Last Name

Email

Phone

(###)

###

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Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Company/Organization

Event Name

Event Date

MM

DD

YYYY

Event Description

Event Type

Confirmed Speakers

Appearance Type

Venue Name

Venue Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Speaker/Appearance Time

Speaker Duration

Event Website

Deadline to Respond

What media outlets will be present at this event?

Quick Facts

about Kelly Suazo-Davis

AWARD WINNING ENTREPRENEUR & EXECUTIVE COACH

FOUNDER OF AIM4UNITY AND L3J NONPROFIT

GOVERNMENT AND CORPORATE LEADERSHIP ADVISOR

INTERNATIONAL SPEAKER