Invite Dr. Juliana to Speak at Your Event Name Email Address Date of Event Location of Event Speaker Budget Will flights and accommodations be covered by you? Will flights and accommodations be covered by you? Yes No Other (please explain below) Approximate Number of Attendees What topic are you looking for Dr. Juliana to speak about? (If you aren't sure, tell us more about your event and audience below) Tell us a bit about your audience... Tell us a bit about your event... Anything else we should know? 11 + 11 = Submit Your Event
