Speaker - Penn State American Marketing Association (PSAMA) Regional Conference

MAREN COSTA

Maren Costa Speaker Engagement Form

Full Name*

Organization Name*

Your Email*

Phone Number *

Website or Social Media Links

Event Name

Event Dates

Event Location (City, State, Venue)

Is the event in-person, virtual, or hybrid?

Expected Number of Attendees

Audience Demographics (e.g., industry, age range, professional level)

Event Theme or Purpose -- What is the primary goal or objective of the event? Number of Attendees

Requested Role for Maren (e.g., keynote speaker, panelist, workshop facilitator)

Topic or Subject Matter Desired

Duration of Presentation

Will there be a Q&A session? If yes, how long?

List other speakers or panelists if applicable

What audio/visual equipment will be provided?

Will there be technical support on-site?

Who is the dedicated point of contact?

Will travel and accommodation be arranged for Maren?

Are there any promotional activities Maren is expected to participate in (e.g., meet-and-greet, book signing)?

What is the allocated budget for this speaking engagement?

Are other expenses covered including travel, lodging, per diem?

How did you hear about Maren? If yes, please share any insights or preferences

Is there any other information or special requests you'd like to share?