Book Kelley If you’d like to request that Kelley speak to your audience, please fill out the form below. Allow 24–72 hours for a response—a member from Kelley’s team will be in touch soon. First Name Last Name Email Phone Number Organization Name Event Address Address Line #2 City State Zip Code Event Venue Name Date of Event Virtual or In-Person Event? Virtual In-Person Event Type Conference Panel Discussion Workshop Keynote Address Fireside Chat Seminar Breakout Session Roundtable Discussion Webinar Symposium Summit What type of message will this be? Keynote Keynote + Q&A Half-Day Workshop Full Day Workshop Other Topic Desired The Power of the RESET – The Summer I Died for 38 Days! The Secret Sauce of Single Motherhood – What I Learned, Lost, and Discovered! Building a Strong Foundation – Lessons Learned from 40 Years of Building You are Highly Capable Building the Ultimate Team Other (Share Below) Special Topic Desired: Anticipated Audience Size Is this an annual event?* Yes No Budget Please provide as much information about your event as possible. How Did You Hear About Kelley? I heard her speak at another event A business colleague or friend She has spoken for our organization before Search Engine Other If Other, please share. Send