PROGRAM AGREEMENT
We agree to engage ____________________________________________ under the following terms and conditions:Organization: ______________________________________________________________________
Address: __________________________________________________________________________
City____________________________________ State_____ Zip_______
Phone:_____________________________________ Fax:__________________________________
Contact Person:______________________________ Phone:_______________________________
Title: _____________________________________________________________________________
THE EVENT
Speaker: ______________________
Title of Presentation: ________________________________________
Theme of Meeting:__________________________________________________________________
Date: _____________________Number of attendees:__________
Audience profile:____________________________________________________________________
Venue:__________________________________________________________________________
Program start:_______________ Finish________________: Breaks:___________________
Special Requirements of Speaker: LCD projector with wireless remote, screen, small table at front for speaker’s materials.
Other Requirements: _________________________________________________________________
PROGRAM FEES
AND EXPENSES
Program Fee: ____________________________________________________________(plus expenses)
Deposit: US$(50% of program fee to be paid upon confirmation of booking. Balance of fee to be paid to speaker at event prior to presentation. Check payable to:
Rounds, Miller and Associates - EIN 1136793301.
Round trip airfare full coach: US$_____________________ (speaker to provide client with locator#)______________
From: __________________________________ To ______________________________________
Ground Transportation: Includes taxi cabs or car rental to and from event.
Hotel Accommodations: Includes meals & gratuities (Billed direct to client).
Number of nights:__________________________ Number of persons:________________________
From (date)_______________________________To (date)________________________________
Handouts and support materials: Client to order materials 4 weeks prior to event. Quantities greater than 250 sets will be invoiced to client after completion of program.
ACCOMMODATIONS
& TRANSPORTATION
Hotel:__________________________________________________________________________
Address: ___________________________________________________________________________
City______________________________________ State_________________ Zip______________
Phone:____________________________________ Fax:_____________________________________
Contact Person:_____________________________
Title:____________________________________
Airport to arrive at: __________________________________________________________________
Arrival date _________________________________Arrival time:___________________________
Transportation from airport to hotel:
Contact Person____________________________: Phone__________________________________
Speaker agrees to abide by the ethics of the National Speakers Association at all times.
Speaker: _______________ Client: __________________________________________
Date: _______________________ Date: __________________________________
Rounds, Miller and Associates 6318 Ridgepath Court Rancho Palos Verdes CA 90275
Address: __________________________________________________________________________
City____________________________________ State_____ Zip_______
Phone:_____________________________________ Fax:__________________________________
Contact Person:______________________________ Phone:_______________________________
Title: _____________________________________________________________________________
THE EVENT
Speaker: ______________________
Title of Presentation: ________________________________________
Theme of Meeting:__________________________________________________________________
Date: _____________________Number of attendees:__________
Audience profile:____________________________________________________________________
Venue:__________________________________________________________________________
Program start:_______________ Finish________________: Breaks:___________________
Special Requirements of Speaker: LCD projector with wireless remote, screen, small table at front for speaker’s materials.
Other Requirements: _________________________________________________________________
PROGRAM FEES
AND EXPENSES
Program Fee: ____________________________________________________________(plus expenses)
Deposit: US$(50% of program fee to be paid upon confirmation of booking. Balance of fee to be paid to speaker at event prior to presentation. Check payable to:
Rounds, Miller and Associates - EIN 1136793301.
Round trip airfare full coach: US$_____________________ (speaker to provide client with locator#)______________
From: __________________________________ To ______________________________________
Ground Transportation: Includes taxi cabs or car rental to and from event.
Hotel Accommodations: Includes meals & gratuities (Billed direct to client).
Number of nights:__________________________ Number of persons:________________________
From (date)_______________________________To (date)________________________________
Handouts and support materials: Client to order materials 4 weeks prior to event. Quantities greater than 250 sets will be invoiced to client after completion of program.
ACCOMMODATIONS
& TRANSPORTATION
Hotel:__________________________________________________________________________
Address: ___________________________________________________________________________
City______________________________________ State_________________ Zip______________
Phone:____________________________________ Fax:_____________________________________
Contact Person:_____________________________
Title:____________________________________
Airport to arrive at: __________________________________________________________________
Arrival date _________________________________Arrival time:___________________________
Transportation from airport to hotel:
Contact Person____________________________: Phone__________________________________
Speaker agrees to abide by the ethics of the National Speakers Association at all times.
Speaker: _______________ Client: __________________________________________
Date: _______________________ Date: __________________________________
Rounds, Miller and Associates 6318 Ridgepath Court Rancho Palos Verdes CA 90275
