EVENT INFORMATION

Please fill in all the appropriate information to insure the success of your event.
LaDonna will contact you by phone after receiving your completed questionnaire to discuss program details.

After completing this form, please make a copy for your files before hitting the submit button.

YOUR CONTACT INFORMATION
Organization/Association name:
Meeting Planner/Contact name:
E-mail:
Retype E-mail to confirm:
Mailing address:
City:
State:
ZIP:
This address is my: Work address Home address
Fax:
Telephone: (office)
Ext.
Telephone: (home)
Cell Phone:
Website address:

PROGRAM INFORMATION
Date(s) for LaDonna’s program:
Event start time: a.m.   p.m.

PROGRAM INFORMATION
Place:
Phone number:
Event Room:
Address:
City:
State:
ZIP:

Appropriate attire for LaDonna:
Evening   Business   Casual   Business/Casual

OVERNIGHT ARRANGEMENTS

Room Requirements: Non-smoking, hypo-allergenic/fragrance free (if possible) 2 beds.
Please make a reservation at a hotel that is convenient to your event and confirm for late arrival.

Lodging will be direct billed to master account: Yes No
Meals will be direct billed to master account: Yes No
Lodging same as presentation location:
(if “yes” skip below) 		Yes No

Hotel name:
Address:
Phone:
Confirmation #:

TRAVEL INFORMATION 

LaDonna will make her own travel arrangements and provide you with a copy
of her itinerary prior to your event. Travel arrangements will be made only after
receiving this completed form.

What airport is closest to the program site?
What other airport (if any) should be considered?

Number of miles from airport to hotel:

Number of miles from hotel to venue:

Ground transportation: LaDonna will use a cab or rental car.

ROOM SETUP

How will the room be arranged for LaDonna’s presentation?

rounds theatre other  

AUDIO/SOUND SYSTEM

Please refer to the Audio Spec sheet (per program selected) on this website in the Meeting Planners Section and fax or email that info to the on-site audio person. Please complete all info below so LaDonna can speak personally with the onsite audio person.

Name: Company:
Phone number: Fax number:
Cell phone: Email:

VERY IMPORTANT!!!
Time the Meeting Room will be empty and available for sound check.
a.m.   p.m. (please designate AM or PM)

Program title you have selected:

Tune Up Your Life
The Song In You
Life in the Key of Change
Christmas Memories

BACKGROUND INFORMATION

1. What is the purpose of your event?
  What is the purpose of LaDonna's presentation?

2. What is the theme of your event?

3. How many will be attending the overall event?

  How many will be attending LaDonna’s presentation?
 (total number)
 


% women   % men  Age range of attendees

Will spouses be attending? yes    no
 
Who will be attending (job titles and job responsibilities)?

5.

What challenges are your people facing?

 

  What are some recent victories?
 

6. Who was the previous speaker/entertainer for this group last year?
  What was their topic?

BEST TIME TO CONTACT

When would it be convenient for LaDonna to talk with you (via phone) about her presentation?

Date: Time of day:

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