International Partners - Special Events Booking Today's Date0112345678910111227123456789101112131415161718192021222324252627282930312023202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Workshop Partner Full Name (First Name and Last Name)(Required) Workshop Partner Organizaton(Required) Workshop Partner email(Required) Workshop Partner Organization Street Address(Required) Workshop Partner Organization City(Required) Workshop Partner Organization Country(Required) Special Event Name(Required) What format is this workshop(Required) Virtual/Streaming (TalkTools will provide the virtual meeting platform) Virtual/Streaming (Workshop Partner will provide the virtual meeting platform) Live/In-Person Workshop Instructor(Required) Vanessa Anderson-Smith Line Avers Tamara Ciciliani Frederique Dumont Colette Ellis Carmenza Herrera Robyn Merkel-Walsh Lori Overland Monica Purdy Renee Roy Hill Risca Solomon Heather Vukelich Rehab Zaytoun Hourly Speaking Compensation(Required)as agreed upon in writingStart Date(Required)Month123456789101112Day12345678910111213141516171819202122232425262728293031Year20232024End Date(Required)Month123456789101112Day12345678910111213141516171819202122232425262728293031Year20232024Start Time(Required) Hours : Minutes AM PM AM/PM End Time(Required) Hours : Minutes AM PM AM/PM Are these times in YOUR timezone? Yes No - they are US Eastern (UTC) Time Total Number of Hours(Required)Honorarium/Speaker Compensation for this special eventIN PERSON OR VIRTUAL: Event Point of Contact (POC)(Required)first name, last name IN PERSON OR VIRTUAL: Event Point of Contact (POC) email(Required) IN-PERSON OR VIRTUAL: Event POC cell, WhatsApp or Facebook Messenger(Required) IN-PERSON: Workshop Venue and Addressname of workshop location, street, city Estimated Number of Participants(Required)Will you need to purchase practicum (hands-on learning supplies) for this workshop(Required) Yes No If this event requires practicum, please list the products/tools neededUntitledany practicum kits need to be submitted 30 days or more prior to the event date(s)Will you need to submit a product order for this event(Required)any product orders need to be submitted 30 days or more prior to the event date (s) Yes No If you are submitting a product order for this event, please list the products PLUS THE QUANTITY neededInstructor Travel Terms(Required) Workshop Partner agrees that TalkTools will arrange airfare for Instructor based on estimates Workshop Partner has provided in this Agreement During the Instructor's stay for this Workshop, Workshop Partner agrees to pay and arrange for hotel accommodations, meals and transportation at reasonable rates TalkTools will bill Workshop Partner for these costs, as part of the final invoice (due to TalkTools within 10 days of the workshop dates) Estimated Airfare(Required)Workshop Partner researches and provides air travel estimateAdditional InformationProvide any other details we need to be aware of for this special event
