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Booking Inquiry Form

NOTICE: UPON COMPLETION A CONTRACT WILL BE ORGINATED AND AN INVOICE WILL BE SENT DIRECTLY TO YOUR EMAIL.
NOTICE: I ONLY ACCEPT IN PERSON BOOKINGS IN NORTH CAROLINA, SOUTH CAROLINA, GEORGIA, FLORIDA

Speaking Engagement Inquiry Questionnaire

Tobin T. Pharaoh, Esq.
Whether you are planning a conference, classroom event, community forum, or virtual panel, this questionnaire helps ensure alignment, clarity, and a high-quality experience for all parties.
Please complete all applicable sections. Submission of this form does not constitute a confirmed booking.

Organization / Institution Name

Type of Organization:

University / College Public Library Conference / Symposium Nonprofit Corporate / Professional Organization Religious / Community Institution Other

Please Specify

Primary Contact Name & Title

Email Address

Phone Number

Organization Website (if applicable)

Proposed Event Title

Event Format

In-Person Virtual Hybrid

Proposed Date(s)

Event Time (including time zone if virtual)

Total Length of Requested Engagement

60–90 minutes 2–3 hours Half-day Full-day Other

Please Specify

Event Location (City, State, Venue Name)

Please review and acknowledge the following:

Speaking Fee: $3,595

Travel & Accommodation:
The host is responsible for all travel-related expenses, including:

Round-trip airfare or train travel
Hotel accommodations (Drury Inn or Holiday Inn preferred)

Do you acknowledge and agree to the speaking fee and travel requirements?

Yes No

Billing Contact (if different from primary contact)

Have you previously hosted Tobin T. Pharaoh, Esq.?

Yes No

Additional Notes, Requests, or Considerations

Portfolio
About
Registration
- Sponsor an Attendee
Book Me
Donate

Portfolio
About
Registration
- Sponsor an Attendee
Book Me
Donate

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