We receive many inquiries from many speakers to be represented by BigSpeak! Due to this volume, BigSpeak! requires speakers interested in having us represent them to fill out the following application. After we review your application, we will invite you to submit your materials to us if you seem a good fit with our firm. There is no fee associated with filling out this application and being reviewed, however there is an one-time $150.00 new representation sign-up fee that is required once and if we decide to begin actively promoting your services.

Please note: Due to the overwhelming number of materials we receive daily, we immediately discard all mail from those to whom we did not personally invite to send a submission packet. Should you need a professional to advise you on your marketing or branding needs, please contact http://www.speakerlauncher.com.

We will contact you if we find you to be a good fit. Please DO NOT contact us.

Fill in as many as apply (more is not necessarily better):

Speaking Topic 1 & Title 1


Speaking Topic 2 & Title 2


Speaking Topic 3 & Title 3

Speaking Topic 4 & Title 4

Speaking Topic 5 & Title 5

For how many years have you received paid speaking engagements?
Less than 1
1 - 2
3 - 5
5 - 10
More than 10

What are your current fees for the following?

• Keynote:
  
  • Local
    
  • National
    
  • International
    
    
• Training/Workshop/Consulting:
  
  • Half-Day
    
  • Full-Day

Name at least three clients who paid you to speak to them during the last 12 months.

Client 1
Contact Name	Company		Phone
Email Address		Speaker's Fee

Client 2
Contact Name	Company		Phone
Email Address		Speaker's Fee

Client 3
Contact Name	Company		Phone
Email Address		Speaker's Fee

Client 4 Contact Name Company Phone   Email Address Speaker's Fee

Client 5
Contact Name	Company		Phone
Email Address		Speaker's Fee

What are the titles of the three most recent books you have had published?

Book Title 1

Book Title 2

Book Title 3

Were any of these three books ever listed on the New York Times best-sellers list?
Yes
No

Do you have a video of a talk you gave to a live audience within the last 24 months?
Yes
No

Do you have a professional press kit?
Yes
No

From what city do you typically travel?

From what state do you typically travel?

How would you describe your speaking style (check all that apply)?

What else would you like us to know about you when considering your application?