Global Speakers Agency
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Request Form
In order to better assist you with your upcoming speaker needs, please complete the following information.
 
Name: required
E-mail Address: required
Position:
Organization:
Website:
Event Calendar
(eg. January 1, 2007):
 
Event Location:
Name of Event:
Theme or Topic:
Speaker Budget: $5,000 - $7,500  $7,500 - $10,000  $10,000 - $25,000   $25,000 +  Not Sure
Preferred Speaker(s):
(List them all, they'll fit) 		      Need Suggestions?  Yes  No
Join Our Electronic Mailing list:  (quarterly e-newsletter, new speaker announcements, customized event pages)
Comments/Additional Information
Contact Information
Street Address:
City:
State
Zip Code
Phone
Fax
Join Our Mailing list:  (event invitations, complimentary speaker directory, customized announcements)
Please indicate how you would like to receive this information.
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We look forward to assisting you with all your programming needs. If you would like to talk to us in person please contact us by phone at our Head Office 1-800-661-4110 or the Toronto office at 1-800-360-1073.
** Global Speakers Agency respects your privacy.  We protect your personal information and adhere to all legislative requirements with respect to protecting privacy.  We do not rent, sell or trade our mailing lists. 

This site uses cookies to provide features such as customized user settings, personalized information, and to store your “My GSA’ information. Any information you provide or have provided in the past will be used to assist you with your speaker event programming and keep you informed and up to date on the activities of Global Speakers Agency, including new speakers, hot topics, special events, showcases and more, through periodic contacts.  If at any time you wish to be removed from any of these contacts simply contact us by phone at 1-800-661-4110 or via e-mail at speakers@globalspeakers.com and we will gladly accommodate your request.
Vancouver (head office): 1663 West 7th Avenue, Vancouver BC V6J 1S4  |  1-800-661-4110  |  Tel +604 734 3663  |  Fax +604 734 8906
Toronto: 15 Delisle Avenue 3rd Floor, Toronto ON M4V 1S8  |  1-800-360-1073  |  Tel +416 324 9491  |  Fax +416 324 0977

email: speakers@globalspeakers.com