GENERAL INFORMATION

Name:

Title:

Company:

State/Country:

Phone:

Cell:

Fax:

Website:

Email:                              @  

Best time for Victor Antonio to reach you:

I. YOUR PROGRAM

1. What is the theme of the event?

2. What is the specific purpose of this event?

3. What type of event is it? (awards ceremony, annual meeting, sales kick-off, etc.)

4. Who (if anyone) is on the program just before Victor and what is their presentation topic?

5. Who (if anyone) is on the program right after Victor and what is their presentation topic?

6. Which company executives and/or industry experts will be speaking at this event?

II. THE PRESENTATION

1. What is Victor's role in your event?

2. Does Victor have to stop by early for an audio – visual check?

Date:                    

Time:

2. What are the exact times for Victor's presentation?    

Start Time:             

End Time:

3. What is the dress code for the event? (suit and tie; sport coat and open collar shirt; slacks and shirt; other)

4. Who will be introducing Victor to your group?

5. What is most important to you concerning the content of Victor's program?  (i.e. use of examples, exercises, audience interaction, handouts, etc.)

6. What theme(s) (other than the primary topic) would you like to see woven into the program?

7. When your people leave the program, what three concepts/skills/ideas would you like them to have?
1.
2.
3.

8. Describe your ideal conclusion of Victor’s presentation.

III. THE AUDIENCE

1. Number in the audience:

2. Male/Female Percentage: M                     F

3. Average age of attendees?

4. General description of audience members:

IV. BACKGROUND

1. What separates your high-achievers from the others?

2. What are some of the challenges your organization and your people face on a day-to-day basis?

3. What areas possess the greatest opportunity for improvement?

4. Name some significant events that have occurred in your industry in the past year? (i.e. mergers, new markets, downsizing, etc.)

5. What is the primary product or service that you offer?

6. What are the three most important benefits you offer to your customers?
i.
ii.

iii.

7. What recent achievement(s) is your organization most proud of?

Name three to five key people in your group who will be at the program you think represent the best-of-the-best.  Victor may want to contact to learn more about their success for the program.

Name / Telephone #
1.
2.
3.
4.
5.

V. LEARNING TOOLS

Most audiences want something additional learning materials to take home after the program.  There are two options:

1. Would you like to purchase books at a discount to distribute to the audience?

2. Offer books and materials after the program is complete for purchase?

VI. LOGISTICAL INFORMATION

1. Hotel Name & Address

Phone:
Fax:

2. Hotel Confirmation Number:

3. Name of meeting room:

4. Into what airport should we schedule Victor's flight?

5. How far is the hotel from the airport?

6. How should Victor travel to the hotel? (take cab, rent car, driver will pick up, etc.)?

7. Would you like Victor to notify someone after he arrives at the hotel? If so, whom shall he contact:
Phone:

8. Contact at meeting site:
Name:

Title:

Phone: On-site arrival date:

9. Are there any pre-meeting engagements (i.e. breakfast or lunch)? If so, where and when are they scheduled:

VI: ANYTHING ELSE WE SHOULD KNOW