Program / Presentation Request

To book an event or get a price quote, fill out this form and click on Send Request
or prepare the information shown and call 763-355-5243. Early submission will help to guarantee availability on the date you desire.
Event Information:
* Event Type, Date, Time, Length:
A value is required.
(Example: Annual Awards Banquet, July 7, 2007 at 7:00 PM for 45 minute keynote)
Audience Type
and Size:

(Example: Approximately 900 adults)
Program Location:

(Example: Hilton Hotel in downtown Minneapolis, MN or Lakeside Community Church in Orlando, FL)  
Budget:
Including Travel Expenses
Frequently asked fee questions.
Contact Information:
* Name:
A value is required.
Job Title:
Organization / Company:
Address:
City:
State: ZIP:
Country:
* Phone:
A value is required.
* eMail:
A value is required.Invalid format.
Web Site:
Referred By:
Availability:
If Tim or Brenda is not available for this particular event, would you like to be contacted by another qualified speaker or performer that could make your event a success?
Comments:
(What presentation are you interested in and what would you like to accomplish?
Are you a human?
If so, answer this...
What is 2+4?		 A value is required.Invalid format.The entered value is less than the minimum required.The entered value is greater than the maximum allowed.