Speaker Request Form

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PETE THOMAS

NBC’s Most Successful Biggest Loser!
Speaker | Teacher | Spokesman
Author | Coach | Athlete

This form is designed to help us learn more about the nature of your request. Please take a few minutes to fully answer all the questions and we will contact you within 24 hours. Thank you!

 

Your Information
Organization/Company:
Contact Person:
Title:
Phone:
Fax:
Email:
Mailing Address:
City:
State:
Zip:
Company Website:
 
 
General Information
How did you hear about Pete Thomas?
Type of organization:
If volunteer, please describe:
Number of employees :
 
Event Information
Event type: (Annual meeting, Convention, Fitness
event, etc.)
Event Date(s):
Is date confirmed?
If flexible, please elaborate:
Is this event:
 
Event Location
Event Venue:
Event Address:
Event City:
Event State:
Event Meeting Theme:
 
Audience
Approximate Number of attendees at your event?
 
Additional Information
Please describe what you would like Pete to do: (Speak, Appear, Emcee, Facilitate fitness activity, etc.)
 
Time(s) during which you’d like Pete to speak/appear:
Specific Times:
 
Pete's Attire
Proper attire for Pete:
 
Member Participant Demographics
What are the approximate characteristics of your average member/participant?
Age Range:
% Male:
% Female:
Income Level:
Education:
E. Other:
 
 

We look forward to working with you to help make your event a success!
Thank you for taking the time to complete this questionnaire and remember,
There’s A Winner Within You!!

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Download and fax a PDF version of our Speaker Request form.

This form is designed to help us learn more about the nature of your request. Please take a few minutes to fully answer all the questions and return this form via email to Speaking@PeteThomas.com or fax at 206-203-4493 and we will contact you within 24 hours. Thank you!