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John Neal Jr. Client Form

Complete the form below to request John Neal Jr. to be a part of your event.

Incomplete forms submissions will not be considered.

    Your First Name* (required)

    Your Last Name* (required)

    Email* (required)

    Phone

    Company

    Company Street Address

    Company City

    Company State

    Company Postal Code

    Event Date(s) of Interest

    Organization Type

    Middle SchoolHigh SchoolCollege/UniversityNon-Profit ReligiousNon-Profit Non-ReligiousCorporate

    Projected Budget for Securing Service *

    Under $10k$10k-$20k$20k-$30k$30k-$40k$40k-$50k$50k Plus

    Venue - Name of Facility

    Venue Address/Location

    Event Name

    Purpose of Event

    Event Time

    Number of Presentations Desired

    Phone

    Topics Chosen for Presentation(s)

    What time(s) do the session(s) begin and what are the requested duration(s)?

    Planned Number of People Attending

    Under 500500-10001000-30003000-50005000 Plus

    Event Attendee Demographics

    Will This Event Be Open To The Public?

    YesNo

    Will Tickets Be Sold For This Event?

    YesNo

    Do You Intend To Record Or Live Stream This Event?

    YesNo

    Can Products Be Sold At This Event?

    YesNo

    Event Contact Name

    Event Contact Details