Workshop Name* First Last PhoneEmail What is the name of your event?What is the date or proposed dates for your event?What is the theme or focus for your event?Where is your event being held (city, province/state)? Please provide the exact venue if you already have it booked.How many attendees are you expecting?What specific topics would you like addressed by Aly at your event?Please indicate if you're looking for a Keynote Speech, Breakout Session or mini-workshop.Are you the decision maker for this event? Yes NoWhat is your budget for speakers?How did you hear about Aly?Human Validation. Please Click Box. Δ
