Booking Request

Event Date(*)
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Event Time(*)
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Event Name(*)
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Event Locations(*)
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Event Attire (*)

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Event Type(*)

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Is this event open to the public?(*)
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Estimated Attendance (*)
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Honorarium provided?(*)
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Honorarium Amount (Use NUMBERS Only*)(*)
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Is event streamed live over the web?(*)
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Permission requested to record Dr. Watson?
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Permission granted to display and offer our products?
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Volunteers available to assist with product sales?(*)
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Would you like Dr. Watson to lift an offering?
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Activities planned after your event?(*)
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If you are having activities following your event, please describe:
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Host Organization
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Mailing Address(*)
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City(*)
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State(*)
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ZIP(*)
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Phone(*)
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Fax
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Event Contact(*)
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Contact Phone(*)
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Contact Email
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Ground Transportation Contact Name
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Ground Transportation Cell Number
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Hotel Name
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Hotel Phone
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Reservation Confirmation #
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Air Travel(*)
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Air Travel (should it be required) will be arranged by our staff. 21 days in advance of the event an invoice will be remitted. Make reimbursement check payable to LWM and remit no less than 7 days before the event.
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