Speaking Inquiry Application Form

Speaking Inquiry

Thank you for considering Dr. Fasana Patel for your event or organization.

Please share a few details about your speaking request and what you would benefit from having Dr. Fasana speak about. We’ll review your inquiry and be in touch with next steps.

1. What is the name of your company or organization?

2. What type of speaking engagement are you looking for?

Podcast / Interview

Workshop / Masterclass

Panel / Retreat / Event

3. Who will Dr. Fasana be speaking to?

Women / Female Entrepreneurs

Coaches / Service Providers

Corporate / Professional Audience

4. What would you benefit from having Dr. Fasana speak about?

5. Tell us a little about the event, organization, or opportunity.

6. Do you have a preferred date or timeframe?

7. Is there anything else you’d like us to know about your speaking request?

DR. FASANA PATEL

High Ticket Sales, Identity and Embodied Success

Home About Work With Me Speaking Free Guide

Speaking Inquiry

DR. FASANA PATEL

Join Our Free Trial