GENERAL INFORMATION
Date of event (mm/dd/yy):
Contact person:
Name, address and phone number of organization:


Home address and phone number of contact person:


How did you hear about Barbara?


Where will the event occur (include address and phone number)?


What is the nature of the event (retreat, luncheon, seminar, etc.)?


At what time does the event begin?

At what time would Barbara be speaking?
Friday night    Saturday AM   Saturday PM   Sunday AM

At what time should Barbara arrive?

What is the title and content of the speech?


What should be the length of the speech (in minutes)?

BOOKS & TAPES
Number of people expected:

May I have a book table? Yes  No
If yes, will you provide someone to run the book table? Yes  No

Books should be shipped to:


Do you want to tape the sessions? Yes  No

OTHER ARRANGEMENTS
Will a lapel microphone be available for Barbara (important, especially so older people can hear)?
Yes  No

What is the fee your organization can provide?

Describe the accommodations that will be provided for Barbara:
Hotel-like  Campground-like

Further details about accommodations:


How formal or informal is the dress at the event? What do participants wear?


Transportation: When will directions be sent, if needed?

Who will arrange flights?

If Barbara is arranging flights:
What is the nearest airport, and the latest time she needs to land?

What is the earliest time she could be back at the airport?

Other details you would like Barbara to know about this request:


Contact e-mail address:


(Please note: you must provide a valid e-mail address in order to send your request).