Speaking Form – Dr. Kofi Osei-Kusi

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Speaking Engagement Form

Name of Your Organisation(Required)

Contact Person(Required)

Contact Numbers(Required)

Email Address(Required)

Website (If Any)

Locational Address For Event(Required)

Street Address Address Line 2 City State / Province / Region Country

Type of Event(Required)

Conference

Seminar

Webinar

Service

Other

If “Other” pls describe it here

Theme Of Event (If Applicable)

Topic To Speak On(Required)

Date of Event(Required)

Starting Time and Ending Time of Event(Required)

Time Allocated for Speaking(Required)

Time To Start Speaking(Required)

Your Expectations (What Do You Hope To Achieve With The Talk?)(Required)

Expected Attendance Number(Required)

Average Age Group of Participants(Required)

Names of Other Speakers/ Resource Persons (If Applicable)

Average Educational Background of Participants(Required)

Resources Available Eg. Projector, Flip Chart,(Required)

Link & Password to Event if it’s a Webinar

What costs would you cover?(Required)

Can we bring copies of Dr Osei-Kusi’s books for sale?(Required)

Yes

Name of Person who would meet Dr Osei-Kusi on arrival(Required)

Contact Phone Number of Person Who would Meet Dr Osei-Kusi(Required)

Any Additional Useful Information

This field is for validation purposes and should be left unchanged.

– Kofi Osei-Kusi

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