Speaking Requests

Event Name *

First Name *

Last Name *

Email *

Phone *

Website *

Business Description 1-3 Sentences (who you help, what, how, how much) *

Who are you requesting to speak? *

Jesse

Jackson

Date of engagement (calendar) *

What time is the event and what time is Jesse and/or Jackson expected to arrive/speak? *

Location of Speaking Engagement *

What is the length of time you'll need Jesse and/or Jackson on stage or for an interview? *

Please provide talking points you'd like Jesse and/or Jackson to touch on. *

Will Jesse and/or Jackson be the keynote speaker on the main stage? *

Estimated audience size for the event? At what date will the audience size be confirmed? *

Would you like to use Jesse and/or Jackson to advertise the event? *

Yes

No

Please list your social media links below (Instagram, LinkedIn, YouTube, etc.) *

How will the event content be distributed? (Check all that apply) *

Social Media (YouTube, Instagram, LinkedIn, Facebook, etc.)

Paid Members Area

Recording for Sale

Free Group

We require hotel and flights to be covered by the requestor/organization for Jesse, Jackson and team (usually 2-3 more). Do you agree? *

Yes I agree

In addition to Jesse and/or Jackson, do you agree to provide necessary event credentials to the channeljunkies.com team members (2-3)? *

Yes I agree

Will there be access to utilize a PowerPoint presentation on stage? *

Yes

No

Do you agree to send the raw footage over of Jesse and/or Jackson’s speech after the event? *

Yes I agree

Do you agree that Channeljunkies.com can have media presence during the event and permission to use footage from the event on Jesse and/or Jackson’s social media accounts? *

Yes I agree

We require that we must have final approval of all content (pre & post event materials) that has Jesse and/or Jackson’s name, image, and likeness associated with it. Do you agree? *

Yes I agree

Outside of Jesse and/or Jackson's speaking engagement, please list any other engagements that are required at the event (Q&A, Meet and greet, photo opp, signing, etc.). *

I understand that in exchange for speaking services, the Event Organizer Fee starts at $35,000 (this is in addition to the team's accommodations and flights that are also being covered). 50% will be due at signing and 50% due 2 weeks prior to event date. All payments are in US dollars. Channeljunkies.com may cancel at any time until the final payment has been made. Should the speakers become ill or unable to attend for other reasons, all fees will be returned. *

Yes, I understand there is a speaking fee that starts at $35,000.00. I also understand that hotel and flights for Jesse/Jackson and team will be covered. I also understand that despite this, they still may not be able to make my engagement and I will not take this personally.

No, I did not know this and I understand Jesse & Jackson may still not be able to speak at my event.

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