Contract Questionnaire - Tim Gabrielson

See you soon!

Please fill out the form below, and we will secure your event date.

Contract Questionnaire

Name (of the individual responsible for signing the agreement).(Required)

First Last

Company/Organization name

Email(Required)

Cell phone(Required)

Work phone

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Platform(Required)

Name of event center

Location of event

*As discoverable on Google Maps.

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Event date(Required)

*The first/only day of your event

Does the event last more than one day?

Yes

No

Event end date

*The last day of your event

What day(s) is/are Tim performing?

*Please include the dates alongside the type of performance.

Event start time(Required)

*If you are unsure, please provide an estimate

:

Event start time (day 2)

*If you are unsure, please provide an estimate

:

Event start time (day 3)

*Please Leave Blank in not applicable

:

AV check-in date

*Please leave blank if not applicable

AV check-in Time

*If you are unsure, please provide an estimate

:

Type of performance(s)

Look for the Good: It Makes Today Better (Keynote)

GABE: Put the Good into Action (Breakout)

Keep it Funny: A Vegas Headliner Show (Entertainment)

Keynote start time

*If you are unsure, please provide an estimate

:

Breakout start time

*If you are unsure, please provide an estimate

:

Entertainment start time

*If you are unsure, please provide an estimate

:

Length (minutes) of Tim's keynote

*If you are unsure, please provide an estimate

Length (minutes) of tim's entertainment

*If you are unsure, please provide an estimate

Length (minutes) of Tim's breakout session(s)

*If you are unsure, please provide an estimate as well as additional notes. *If Tim will be doing multiple breakout sessions, please include the start times of all the breakouts.

Will you be recording the program?(Required)

Will you send a copy of the recording to Tim for promotional use?

Client agrees to these payment terms

Client pays deposit equal to 50% of the fee plus travel fee payable immediately to reserve date(s). Balance of 50% due payable 15 days prior to contracted start date.

Client wants to explore other options.

Additional Comments

Phone

This field is for validation purposes and should be left unchanged.

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