Booking Request for Dr. Sheila D. Williams, Ph.D.

(Mental Health Advocate, Empowerment Speaker, Best Selling Author)

Thank you for your interest in booking Dr. Sheila. This inquiry is for PAID speaking engagements and appearances. Please visit the contact section on my website for any other inquiries. We look forward to working with you!

*Today's Date:

Contact Information
Please complete ALL required fields or your request will not be reviewed.



*Company/Organization Name
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Event Information

*Event Type:
*Event Dates
Venue (Where will the event be held?)
Is this Event Public or Private?
Will tickets be sold?
*How many other speakers?
Venue Capacity (How many will the venue hold?)
*Expected Attendance?
*Speaker Budget (Please indicate your Speaker budget. All budgets will be considered. If a budget is not provided your request will NOT be reviewed.)

*What Services are you requesting?
Keynote SpeakerLunch & LearnHalf day Workshop/TrainingFull Day Workshop/TrainingConference Speaker

Will flyers be designed for this event?

Does your event have sponsors?

If so who are the event sponsors?

Will you be using Dr. Sheila’s name and/or likeness in/on your Marketing?

How will you advertise?

Please select all that apply
Flyers/PostcardsSocial Media: Face book, TwitterMass EmailsTelevision/RadioMedia CoverageOther

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