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Book us for a Keynote

Fill out the info below and we will be in touch shortly! We can't wait to make a DIFFERENCE at your event.

Name *

First Name

Last Name

Email *

Phone

(###)

###

####

When is your event date?

MM

DD

YYYY

Event time of day

Hour

Minute

Second

Is your date flexible?

Yes

No

Which service are you interested in?

30 Minute Keynote

60 Minute Keynote

Phone

(###)

###

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Company Name

Company Website

Name of Venue

Venue Full Address (Street, City, State, Zip)

Venue Mailing Address

(Write "Same" if same as above)

Details & Purpose of the Event

Speaking Budget *

$

Estimated amount of Attendees

Event Attendee Demographics

Will this event be open to the public?

Yes

No

Will tickets be sold for this event?

Ticket sales must be approved by ETA.

Yes

No

Do you intend to Record or Live Stream this event?

Yes

No

Can products be sold at this event?

Yes

No

If Ducatti is unavailable for your event, are you open to reviewing alternative speakers that are Certified by THE DIFFERENCE?

Yes

No

If your company allocates funds for charity organizations, may we send you information about our Foundation?

Yes

No

Thank you!

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Questions?