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Daily Inspirational
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Event Request submission form
Company Information
Company Name
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Type of Company :
Company Website URL :
Company Address
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Mailing Address :
Company email
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Company Phone
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Primary Contact Information
First Name
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Last Name
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Title or Job Position :
Cell Phone Number :
Work Phone Number
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Fax Number :
Email address
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Event Location Information
Location Name
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Location Website :
Location Physical Address
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Location Mailling Address :
Location Email Address
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Location Phone Number
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Location Cellphone Number :
Location Contact Name :
General Event Information
Who are you interested in having at your event?
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don Miguel Ruiz Sr.
don Jose Ruiz
don Miguel Ruiz Jr.
Proposed Event Start Date/Time
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Proposed Event End Date/Time
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Deadline for Response :
Type of Event
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Retreat
Lecture
Workshop
Other (please explain)
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Estimated number of attendees at Event
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Have you ever hosted an event for don Miguel Ruiz before?
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Yes
No
Have you ever hosted an event for another author before?
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Yes
No
If yes, please list the names below :
How many events have you previously hosted?
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Do you have any testimonials from participants that attended past events?
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Yes
No
What is the proposed amount Ruiz Productions will be paid for the event?
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What is the proposed cost for participants to attend this event?
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Are there any products that will be produced from the material received during the event?
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Yes
No
(Media includes: Photographers, or videographers.)
Are there any products that will be produced from the material received during the event?
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Yes
No
(Please be aware if you answer yes to this question there will be further contracts and negotiations necessary before any event can even be considered.)
What advertising will be done to promote the event?
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What date will advertising begin for this event?
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Please provide a detailed description of the event
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Additional Comments/Information
CAPTCHA:
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Enter the code on the right in the field above.