Workshop Booking and Contracting Form - Line Avers TODAY'S DATE0112345678910111227123456789101112131415161718192021222324252627282930312023202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920WORSHOP PARTNER NAME(Required)First Name and Last Name WORKSHOP PARTNER ORGANIZATION(Required) WORKSHOP PARTNER EMAIL(Required) WORKSHOP PARTNER ORGANIZATION STREET ADDRESS(Required) WORKSHOP PARTNER ORGANIZATION CITY(Required) WORKSHOP PARTNER ORGANIZATION COUNTRY(Required) WORKSHOP COURSE TITLE(Required) 3-Part Treatment Plan for OPT (Oral Placement Therapy) (Level One course requirement) OPT: Assessment and Program Plan Development (Level One course requirement) Other WORKSHOP INSTRUCTOR(Required) Line Avers = $3000 per day Line Avers = $335 per hour (for special events less than 1 day) WORKSHOP FORMAT(Required) Virtual/Streaming (TalkTools will provide the virtual meeting platform) Virtual/Streaming (Workshop Partner will provide the virtual meeting platform) Live/In-Person START DATE(Required)Month123456789101112Day12345678910111213141516171819202122232425262728293031Year20232024END DATE(Required)Month123456789101112Day12345678910111213141516171819202122232425262728293031Year20232024TOTAL NUMBER OF DAYS(Required) 1 2 3 4 SPECIAL EVENTS: Total Number of Hours(Required)Less than 1 day 1 2 3 4 5 Start Time(Required)Day 1 Hours : Minutes AM PM AM/PM End Time(Required)Day 1 Hours : Minutes AM PM AM/PM Start TimeDay 2 Hours : Minutes AM PM AM/PM End TimeDay 2 Hours : Minutes AM PM AM/PM Start TimeDay 3 Hours : Minutes AM PM AM/PM End TimeDay 3 Hours : Minutes AM PM AM/PM Start TimeDay 4 Hours : Minutes AM PM AM/PM End TimeDay 4 Hours : Minutes AM PM AM/PM ESTIMATED NUMBER OF PARTICIPANTS(Required)TalkTools expects the MAXIMUM number of participants for this workshop to be 60 (sixty) participants. For each participant exceeding this maximum number, the Workshop Partner will pay TalkTools® $40.00 per person for a 2-day workshop and $20.00 per person for a 1-day workshop. VIRTUAL OR IN-PERSON: Workshop Point of Contact (POC)(Required)VIRTUAL OR IN-PERSON: first name, last name VIRTUAL OR IN-PERSON: Workshop POC cell or WhatsApp or Messenger VIRTUAL OR IN-PERSON: Workshop POC email(Required) IN-PERSON: Workshop Venue Name and Address TOTAL HONORARIUM/SPEAKER COMPENSATION FOR THIS WORKSHOPDEPOSIT AMOUNTDEPOSIT IS EQUAL TO 25% OF THE TOTAL INSTRUCTOR COMPENSATION/HONORARIUM SPECIAL EVENTS: TOTAL HOURLY HONORARIUMSPEAKER COMPENSATION FOR THIS WORKSHOPDUE WITHIN 30 DAYS OF INVOICE DATEPlease enter a number from 2600 to 4000.Will you need to purchase practicum (hands-on learning supplies) for this workshop(Required) Yes -- Workshop Partner will order practicum for each participant No -- Workshop Partner has the supplies and will assemble the practicum for each participant Practicum/Hands-On Learning Supplies List(Required)PLEASE REVIEW THE PRACTICUM LIST FOR THIS WORKSHOP - https://talktools.com/pages/live-workshop-practicum Workshop Partner has reviewed the practicum list Select the PRACTICUM SKU for this workshop if you are purchasing(Required) [SKU 3801] 3-Part Treatment Plan for OPT (Level One) [SKU 3803] OPT: Assessment and Program Plan Development (Level One) Other Select the PRACTICUM PRICE for this workshop if you are purchasing(Required) Three Part Treatment for OPT = $5 per participant OPT: Assessment and Program Plan Development= $10 per participant Other = $5 per participant ( (this is a placeholder for the purposes of estimating workshop costs) Estimated Practicum CostsIN-PERSON: Instructor 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 30 days after receipt of final invoice from TalkTools) IN-PERSON: Estimated Air Travel(Required)Workshop Partner researches and provides air travel estimate. If virtual, leave blankEstimated Total Workshop Costshonorarium+speaker fee+estimated practicum if purchasing+estimated air travel if workshop is in-person
