Booking Interest Form

I’m looking forward to working with you. Fill out the form below to indicate your request for speaking, workshops, or custom corporate training.

Name

First Name

Last Name

Phone

(###)

###

####

Organization

Organization/ Billing Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Event Details

What service(s) are you interested in?

Select one or more:

Speaking engagement/ Keynote address

Half day workshop (3-4 hours)

Full day workshop (8 hours)

Custom corporate training

Event Date

Leave blank if unknown

YYYY

Event Time

Leave blank if unknown

Hour

Minute

Second

Event Location

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Audience Information

Estimated Number of Attendees

Audience Demographics

(e.g., age group, profession):

Theme and Objectives

Event Theme/Topic:

What is the theme of your event? If interested in a training/workshop, what is the desired topic/theme?

Key Objectives for the Event/Engagement:

What would success look like?

Special Requests or Notes

Key Terms and Conditions

These are the general terms and conditions of booking a speaking or training engagement with me as a speaker/trainer.

Payment

Payment can be made via bank transfer or cheque made out to Elena Svetieva.
A nonrefundable deposit (25% of total fee) is required at time of booking in order to secure date(s).
Payment of remaining balance is due within 14 days of the conclusion of the engagement.

Cancellations and Refunds

Both parties can agree to cancel or reschedule the engagement, e.g. due to changing event scope or mutual convenience.
In the event of a weather emergency, natural disaster, or illness, the client will be offered a full refund of their deposit, or rescheduled date(s) to which the deposit can be applied.
In the event of a speaker/trainer cancellation, the speaker will notify the client/organizer immediately and make reasonable efforts to find a suitable replacement, subject to the organizer's approval.
In the event of client/organizer cancellation,
- client is responsible for any nonrefundable travel and accommodation expenses incurred by the speaker/trainer.
- the nonrefundable deposit can be applied to a future event, at a date mutually acceptable to both parties.

Intellectual property and confidentiality

Speaker/trainer maintains the rights to the content delivered, including any recordings of the speaker or speaker-created materials.
The client/organizer may not record, distribute, or reproduce the speaker’s presentation/materials without prior written consent.
The speaker will maintain all confidentiality to information shared during the engagement by any individual(s) about the client/organization, to the extent allowable by law.
Client must explicitly inform the speaker if they wish not to be publicly associated with speaker services for various reasons, including privacy concerns or competitive considerations.