Speaker Request Form

Speaker Request

Name(Required)
Address(Required)

Event Details

MM slash DD slash YYYY
Speaker Start Time(Required)
:
Speaker End Time(Required)
:

Honorarium

Honoraria from speaking events helps the Kansas Leadership Center engage more Kansans in our core programs and compensate KLC for travel/material coasts associated with your event.
What level of honorarium are you able to offer KLC for providing a speaker at your event?(Required)

Travel

Would you be willing to cover travel expenses for a KLC speaker? We charge the IRS standard mileage rate of 57.5 cents per mile. We will calculate and invoice for the mileage after making the trip.(Required)

Books

KLC's book, Your Leadership Edge is a hit with audiences. Providing the book to your participants will help the ideas explored in our presentation stick. These books are priced at $19.95 each.
How many books are you interested in purchasing for your event?(Required)
X
X