This Form cannot be submitted until the missing
fields (labelled below in red) have been filled in
Please note that all fields followed by an asterisk must be filled in.
Complete Organization’s Name*
What is the reason/purpose of this meeting?
---Select--- Annual meeting
José Luis’ introducer name & title
José Luis’ introducer e-mail address
Starting and ending times for entire program
Starting and ending times for José Luis' program
What takes place before José Luis’ program (speaker, meal, workshop)?
What takes place immediately after José Luis’ program (break / another speaker / nothing, etc.)?
Top objective for José Luis’ presentation?
Is there a particular message that you want José Luis to reinforce?
Are there sensitive areas to avoid that you don’t want José Luis to mention?
Are there any immediate past, resent or pending issues José Luis needs to be aware of?
As a group, what are the top 3 strengths your people have?
As a group, what areas of their overall working performance are ripest for improvement?
Please list any specific industry jargon, in-house buzzwords, phrases/sayings, and/or acronyms applicable to your group that might be incorporated into the presentation
Anything humorous José Luis should know about?
What is the most recent "buzz" around the water cooler?
Will you use image magnification (IMAG)?
Will José Luis’ presentation be taped?
If other speakers are on the program with José Luis, who are they and what are their topics?
Number of attendees
Female % and Male %
What will the audience be wearing?
How will they be seated?
---Select--- Theater style
To get information about this event and this group in order to better tailor José Luis’ program to this meeting, may he contact the person responsible for calling this event (e.g., the executive who owns and sponsors the meeting, the trade association executive director, etc.)? If yes, please provide us with name and e-mail address
Other people valuable for José Luis to interview (top executives, key managers that will be in José Luis audience, etc.) Please provide names with their email addresses
Fly into what city?
Recommended mode of transportation from Airport to Hotel
Estimated time between the airport and the meeting’s venue
Hotel name and full address
Hotel phone number
Distance from José Luis hotel to the meeting’s venue
Venue’s name and full address
Venue's phone number
If problems/emergencies arise on the way to the program, whom should José Luis contact? Please provide name, biz phone number, and cel phone number
May José Luis invite a guest to sit on this program?
Is there anything else that José Luis hasn’t asked, that you think he should know? Could you please explain?
Please enter the word that you see below.