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eBooks Paid Speaker Sign-up

First Name

Last Name

Email Address

Phone Number

Company Name

1. Are you an ebooksentrepreneur.com customer?

Yes No

2. Select the Purchased Product Category: It is okay that you may be a speaker for a different topic or category.

3. Mark ALL that applies to you:

If selected this is my First Time speaking or being an Interviewee If selected this is my First Time being a paid Speaker or Interviewee If selected this is NOT my First Time Speaking If selected this is NOT my First Time being a paid Speaker or Interviewee Since this is NOT my First Time, I have attached my Speaker resume below

4. Are you willing to work with a videographer?

Yes No

5. Do you consider yourself an experienced speaker?

Yes No

6. Do you understand this is a professional speaking opportunity and topics are regarding Business or Entrepreneurship?

Yes No

7. Are you willing to sign a Non-Disclosure Agreement?

Yes No

8. Are you willing to submit a professional photo with your submission?

Yes No

9. Are you willing to prepare business material, outline, or notes for a speaking opportunity?

Yes No

10. Are you willing to sign a Direct Deposit form or Consent form to be to be paid electronically?

Yes No

11. Are you willing to travel?

Yes No

12. Which platform are you interested in being a paid Speaker? Check all that apply.

In-Person Virtual (Webinar, Conference, Social Media Interview) Prerecord with personal device (ebooksentrepreneur.com will professionally edit)

13. Do you have a preferred month/year for a paid Speaker opportunity? Yes or No Select the Months/Year that you would like to be considered for a paid speaking opportunity

November 2022 December 2022 January 2023 February 2023 March 2023 April 2023 May 2023 June 2023 July 2023 August 2023 September 2023 October 2023 November 2023 December 2023

Resume Upload (Optional for First Time Speakers)

Photo Upload (Preferably a Headshot)

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