If you would like to schedule Nathan Fluellen as a speaker at your next conference or event, please fill out the form below or call 615-566-2107

Name
Primary Contact's Email Address
Primary Contact's Phone Number
Primary Contact's Mobile Phone
Secondary Contact's Name
Secondary Contact's Email
Secondary Contact's Phone Number
Name of Organization
Organization Website
Organization Type
Organization Industry
Additional Organization Details
Additional Organization Details
Role in event
Role in event
Prospective Date of Event -- First Choice Date
Second Choice Date
Keynote Topic
Event Start Time
Start Time of Speaker
End Time of Speaker
Event Name
Event Description
Event Description
Panel Topic
Panelists: Specific Names and Affiliation
Venue Name
Closest Airport To Venue
Audience
Please provide a description (i.e. size, ceo, employees, etc)
What media outlets (radio, television, newspaper) will be present at this event?
How is the event being promoted?
Organization Will Cover Expenses
Expenses Covered By Organization
Honorarium
What is your budget for a speaker?
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