Speaker: Vince Poscente, CSP, CPAE
Tim Sanders
The Passing Zone
Steve Rizzo

 Cary Mullen
Cheryl Cran, CSP
Scott Burrows
Yossi Ghinsberg
Date of Presentation:
Company Name:
Your Name:
AV Contact:
Email Address:
Will you be using
Image Magnification (IMAG)? 		Yes
No
Will this presentation be
video or audio taped?		 Yes
No
Regarding "The Passing Zone";
They need 1 hour set up for a standard performance and 3.5 hours for
a People Juggling performance.
Set up date? Time?    
Strike Down - right after presentation?
 Yes No		 If not, when?  
% Inspiration/Entertainment:
% How to/Nuts & Bolts
What occurs immediately before and
after the presentation?
Who spoke at this meeting in
the last two years?
Other speakers on
this year's program?
Objective of Meeting:
Theme:
Number of attendees:
Demographics:
% Male | % Female
Age range:
Positions:
% Staff | % Management
Names and positions of
senior executives attending:
Please list two major results you would like to
achieve from your conference and
from the speaker's program:
Are there any sensitive issues to avoid?
What are your current challenges?
How did you find the speaker?
Would you like some of
the speaker's articles/eZines/blogs for
your internal promotion? 		Yes
No
Would you like the speaker to
autograph books for your group after
the program? 		Yes
No
If yes, please indicate if you would like: