Invite “Boomer” To Speak At Your Event!

Please provide your name. *

First Name

Last Name

When Is Your Event Date? *

MM

DD

YYYY

Phone Number of Contact Person *

Country

(###)

###

####

Will This Event Be Open To The Public? *

Yes

No

Will Tickets Be Sold For This Event? *

Yes

No

Do You Intend To Record of Live Stream This Event? *

Yes

No

Can Products Be Sold At this Event? *

Yes

No

If your company allocates funds for charity organizations, may we send you information about our Ambassy Cares Foundation? *

Yes

No