Contract Your Event

Thank you for your partnership

Please submit the following form to confirm all the final details to contract your event.

CAMPUSPEAK Event Confirmation

About Your Program
Keynote Speaker*
Listed Alphabetically by last name
Keynote Presentation of Interest*
Keynote program titles listed on your speaker's individual page
Anything else we should know about your program goals?
The Program will be*
- In-Person
- Virtual on CAMPUSPEAK Zoom
- Hybrid (Speaker Presenting In-Person and Virtually )
*Please note: If you were not provided an initial quote for a Hybrid Event; there is an additional fee of $750
Date of Program*
Please Include - Month Date, Year
Start Time of Event*
Please Include - AM & PM
Start Time for Speaker*
Please Include - AM & PM
Does your event include an additional keynote, breakout, or workshop?
- No, just the primary keynote
- Yes
Second Keynote Presentation of Interest (if different)
Keynote program titles listed on your speaker's individual page
Start Time for Second Program*

: Hours

Minutes

AM/PM
Location of Event - Name of Venue*
If you don't have a location yet, please list Unknown at this time
Location of Event - Room Name/Number*
If you don't have a location yet, please list Unknown at this time
Location of Event - Address of Venue*
If you don't have a location yet, please list Unknown at this time
About You
Official Name of Contracting Organization*
Please do not use abbreviation
Your Name*
First Last
Title*
Physical Mailing Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Daytime Phone*
Email*
I am authorized to sign agreements for my organization
- Yes, I am authorized
- No, I am not authorized
Will you be using CAMPUSPEAK Performance Agreement or will your organization be providing one?*
- We will use the CAMPUSPEAK Performance Agreement.
- We prefer to use a performance agreement provided by our organization.
Authorized Signatory Information
Authorized Signatory's Name*
First Last
Authorized Signatory's Title*
Authorized Signatory's Email*
Day of Event - Secondary Contact
Day of Event Contact's Name
First Last
Day of Contact's Title
Day of Contact's Cell Phone
Day of Contact's Email

Thank you for your partnership

CAMPUSPEAK Event Confirmation

About Your Program

About You

Authorized Signatory Information

Day of Event - Secondary Contact