BOOK PATRICIA OMOQUI

Would you like Patricia Omoqui to speak at your event

Your Name *
Your Email *
Phone *
Date(s) of Event *
Type of Event (Retreat/ Seminar/ Conference/ Workshop/ Training)
Other Speakers / Facilitators
Will Patricia Omoqui be the main speaker? *	Yes
How many sessions are you requesting Patricia Omoqui to speak for?
How many workshops or breakout sessions are you requesting her to speak for?
Schedule and Duration of speaking times
What are the topics you would like her to speak on for each session?
How many people are you expecting to attend the event?
Makeup of the attendees (Business men, Corporate leaders Government officials, Women groups, Heads of Govt etc.)
Organization’s name and contact details
How did you hear about Patricia Omoqui? (Google, Facebook, Referred by)
Purpose of Event?
Event Location and venues?