PMI Atlanta would require the following information to plan/organize the event. The completed form will be submitted to the VP Marketing, PMI-Atlanta Chapter and the Speaker's Bureau.

Event Description

* When is the event/meeting scheduled?

 

* City & site of event:

 

Type of business of the organization:

 

Approximate size of audience:

 

Length of presentation:

 

Event format (i.e. Keynote, Training, Workshop):

 

 

Speaker Requirements

Please list any speaker(s) you are already interested in booking:

 

What is the theme of your event and describe the issues related to your event that the speaker would need to address?

 

Please list any additional objectives or needs:

 

 

Contact Information

* Name:

 

Title:

 

Company:

 

Address 1:

 

Address 2:

 

Address 3:

 

City:

State:Zip:

* Work Phone:

Extension:

Cell Phone:

 

Website URL:

 

Email:

 

* - required field.