Dave Horsager

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Recent Clients

Please use the form below to submit your information for an upcoming event. This will help us better plan for this event.

Event Information
Name
Title
Organization
For Program
Date(s)
Organization Web Site
Approximate number of attendees
Desired length of program
Theme and purpose of this event?

Challenges your team is facing?

What are the results that you would like from this session? Short Term? Long Term?

What would it look like if we did an outstanding job for you?

What special jargon or terminology used in your industry do I need to be aware of? Key issues or terms to avoid(if any)?

Please provide a brief audience description

What takes place immediately before and after the program? (speaker, meal, break)

If there is another speaker, please indicate the topic: (Before and After)

Appropriate Attire for Speaker
Person who will introduce Dave
Name
Title
Phone
Fax
Email
Stage Manager
A stage manager will be available? (If no, skip next 3 questions)
Name
Phone
Email
Audio/Video
The session will be audio taped?
The session will be video taped?
Who can I contact about obtaining a copy of tapes?
Phone
Company and Industry Information
Mission Statement

Brief Organization History

Meeting Agenda/Invitation

Other Company and Industry Information that you would like to provide

Please provide any additional documents such as Company newsletter/Paper/Flyer by emailing to info@horsagerleadershipstudio.com
Meeting Planner
Name
Phone
Address
City
State
Zip Code
Email
Travel
Closest Airport
Name (If someone is picking Dave up)
Cell Phone

"Your production provided the perfect finale to motivate our people to take action to close the sale."

Ron Shearer, CEO STI Delivers