Booking Inquiry

If you're interested in booking me for

SPEAKING:

an interview, a keynote, speaking engagement, presentation, or

CONSULTING:

for a project, farm, garden, business, food system, or

SOMETHING ELSE…

Please use the form below. Thank you.

Name

First Name

Last Name

Phone

(###)

###

####

Inquiry Topic

Please indicate what type of service you are interested in.

Other

If you selected "other", how can I serve you or your group? Please provide a brief description. (200 words or less).

SPEAKING: FOR EVENTS (I offer keynotes, speaking, presenting, facilitation, and moderation services):

Please answer the following questions about your event.

Date of your event

YYYY

Please explain the purpose and vision for your event (200 words or less).

In which city and state (include country if outside the U.S.) will your event take place?

How many people do you expect to have at your event?

What is the venue for your event?

What is the format for the event?

Will you be charging for the event?

Event Price

If you are charging for the event, what is the ticket price?

Services from Maurice Small

Which of my services are you interested in securing for your event? (Select all that apply).

Keynote

Workshop Presentation

Expert Panelist

Moderator

Master of Ceremony

Estimated Budget

Please describe your budget to cover Maurice Small's contribution to your event? (Please be sure to include a dollar amount).

CONSULTING: FOR PROJECTS (I offer strategic consulting for farms, businesses, faith-based orgs., governments, schools, universities, and more)

Please answer the following questions about your project.

Project Timeline: Start

When is the start of your project? (approximate date is okay).

YYYY

Project Timeline: Completion

When is the projected completion of your project? (approximate date is okay).

YYYY

Project Vision/Purpose

Please briefly describe the vision for your project/initiative. (200 words or less)

Project Location

In which city, state, country will your project take place?

Project Partners

Who are the key partners in your project? For example, you could be working with any number of people/organizations...family members, non-profit leaders, city officials, school staff, students, business owners, farmers, etc.

Maurice's Role

What would you like me to do in support of your project? Please share as much of an idea as possible. If you are in the beginning stages, that is okay.

Project Impact

How will you measure the impact and success of your project? How many people will benefit? How will the environment benefit? What else?

Overall Project Budget

What is the overall budget for this project? (dollar amount)

Budget in support of Maurice Small

What is the estimated budget for Maurice Small's contribution to your project? (dollar amount)

Anything Else?

What else is important for me to know about your project?

Line

Other Services

Is there something else that I can help you or your organization accomplish that is not an event or a project?

Booking Inquiry

Thank you for sharing your ideas and vision.

After reviewing your answers, I will be in touch.