Event Itinerary Form Please complete this form and click submit! Event Host Name * First Name Last Name Email * Speaker Honorarium * Host Phone # * (###) ### #### Venue Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Closest Airport to Venue * Event Date * MM DD YYYY When does Jennie need to arrive? * Hour Minute Second AM PM When does the event start? * Hour Minute Second AM PM Name of Meeting Room @ Venue * Room Set-Up for Event * (arena, hotel, ballroom, classroom) Who will escort Jennie to the event site or room when she arrives? * What is this person's phone #? * (###) ### #### What is the full schedule of activities? * Names/TItles of Key Attendees or other Speakers * Description of Audience/Role of Attendees to Organization * Audience Size * Age of Attendees (Range) * Percentage Male vs. Female * Event Title * Brief Description of Host Organization * Recommended Attire * Theme for your event * What is the purpose of your event? * Why did you select Jennie? What are you hoping she relays to your audience? * Length of Jennie's Keynote in Minutes? * If this is an annual event, what speakers have you had in the past? * Anything else you want us to know? What is your social media @ for the event or host? * Thank you!
