Meeting Information Form

Meeting Information Form. Please share anything you feel would be helpful. Thank you.

Today's Date *

Name *

First

Last

Job Title *

Organization *

Phone(s) *

Email *

Address *

Program Date *

Time of Tony's Presentation *

Length of Tony's Presentation *

Expected Number of Attendees *

Honorarium *

Name of Person Who Will Present Honorarium Check to Tony at Event *

Meeting Site Address *

Overnight Accomodations *

Preferred Ground Transportation for Tony *

Appropriate Attire *

What are you calling your event? *

Conference Theme or Slogan *

Who are the attendees and what do they do overall? *

What do they care about overall or in regards to this conference? *

1-3 of the biggest challenges they face? *

How would you like to see these challenges resolved? *

Any special messages you'd like for them to remember or act on? *

Accomplishments you feel good about for recognition purposes *

Common source of stress for humor purposes *

Anything else you/they are looking forward to *

Additional thoughts, requests, comments *

Submit