Gilbert's Gazelles - Austin, Texas Running Group

Gilbert Tuhabonye - Speaker Request Form

Mr. Tuhabonye receives an extraordinary number of requests to speak to corporations, schools, churches and other organizations. Gilbert considers it an honor to have the interest of so many and does indeed try to accommodate a number of these annually. Because of the volume of requests, we ask inquiring organizations to complete a Speaker Request Form. For your reference, factors that influence the decision are the size of the audience, event location, date and time, the organization or event purpose as well as other factors. We also recommend that you submit your request four (4) to six (6) months prior to your event date. Please note that, despite Gilbert's best efforts and the many appearances he is able to do each year, it represents a very small percentage of the number of requests received. We thank you for your interest and look forward to hearing from you. If you do choose to submit a formal request, please allow three (3) to four (4) weeks for a response from our team.

Terms: Terms: Mr. Tuhabonye's Speaking Honorarium is $5,000.00; as well, requesting organization provides air travel, hotel accommodations and meals, if applicable. This is an invitation, not a contract. Upon approval, a contract will be sent to the authorized representative of the requesting organization. A deposit and signed agreement are required before this event is considered to be confirmed. Murakoze!

**Required

** Requesting Organization:

** Date of Submission:

** Type of Organization:

** Website Address:

** Location of Event:
(Building Name, if applicable)

** Event Address:

** Name and Title of Person Authorized to Execute Any Agreement:

** Event/On-Site Contact Person:

** Main Phone:

** Cell:

Fax:

** Email:

** Type of Event:

** Is This An Event For Which Guests Purchase Tickets And/Or Pay An Entry Fee:

** Theme for Speaker:

** Day and Date of Event:

** Time of Event:

** Time Speaker Will Begin:

** Length of Talk:

** Desired Attire:

** Expected Attendance:

** Profile of Attendees:

Air Travel Required - If Outside of Austin, Please Select Yes and Fill Out Travel Information:

Nearest Airport:

Closest Full Service Hotel:

Additional information: Please add any details you deem relevant, special requests, etc. here::

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