Kahlilah Guyah Workshop Request for Proposal

Please fill out the form to request Kahlilah to speak at your organization.

Information for Speaking Request

Information for Speaking Request

Please complete the following information to request a proposal for speaking.

Name of Person Completing the Form *

Telephone No. *

Email *

Organization Sponsoring the Event *

Date Requested

Expected Number of Attendees

Time Allotted

How much time is being requested for the workshop/session?

Event Location (City & Venue or Virtual)

Topic(s) of Interest *

Speaker Budget

Other Description

If you selected "other" for Topics of Interest above please describe your topic here.

Additional Information

Please feel free to share additional information about the event or attendees.

Kahlilah Guyah | www.kgsafety.com | kguyah@ehscsi.com

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