Speech Coaching Contact Form
 

Please print this form and send it with your DVD, Video, Tape or Manuscript to:

Speak Up Speaker Services
Attention: Gene Kent
3141 Winged Foot Drive
Lakeland, FL 33803

Enclose your check, made out to "Speak Up," for $250.00, or credit card information and a self addressed, stamped mailer, if you would like your recorded message returned.

Credit Card Number

Expiration Date
Name on card
Amount $250
Name
Address
City
State
Zip
Phone number
Email address

In what time zone are you located and what is the best time of day for a follow-up phone call?

Title of presentation
1. Describe your target audience.

2. What is your aim in this presentation? (What do you want to cause your audience to do as a result of hearing this message?)

3. What are your outline points?

4. What are your best assets are as a speaker?

5. Where do you think you need the most improvement?