Request Mr. Milo to attend your event
 Please complete the following, then copy and paste it into this link:
Request for Attendance
INFORMATION TO BE SUBMITTED
Your Name:
Title:
Phone:
Email:
Name of the Event:
Location:
Date and Time of the Event:
Event Sponsor (include Sponsor Web Address if Available):
Event Objectives:
How does this event fit in with the strategic initiatives of Ask Mr. Milo?:
Briefly explain how Mr. Milo's participation will help meet the objectives of the event:

EVENT INFORMATION
Audience (business and profile of conference attendees/meeting participants, and anticipated size of audience):

Proposed speaking role for Mr. Milo:
- Keynote
- Panel
- Other:  Please specify

Proposed Topic:
Presentation format (formal presentation, round table, informal address, etc.):
Other invited speakers:
Other key issues to be addressed at the event:
Has Mr. Milo spoken at this event or a related event in the past?  If so, please provide details.
Will media be invited to attend the event? If so, please indicate which outlets/representatives.

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