Event KeynoteRequestComplete this form with details about your event. Alternatively, email me at:belinda@bmconsultancy.com.au Name * First Name Last Name Business Name Event Details Email * Phone (###) ### #### Preferred Contact Method * Email Phone Event Information * Share some background information about your event and why you think I would be a good fit. Please indicate which topic you are most interested in hearing me speak about. Subscribe to receive The Friday Fundamentals - a weekly leadership journal For sure I'd rather not Speaker Fee * I have a speaker fee starting at $3,000. Complete this section to indicate if your event budget allows to pay for speakers or if your request is for my fee to be waived. Event budget allows for speaker fee Request for pro bono (no fee) Thank you!