Speaker Request Form

Speaker Request Form

Speaker Booking Request Form
Thank you for your interest in booking Carrie Silverhorn of GSTRV & myPocketTech as a speaker.
Please complete the form below so we can review your request and follow up with availability, topics, and pricing.

Organization/Campground Name*
Please provide a brief summary of your organization, members, and focus of organization:
Contact Person Name*

First NameLast Name
Event Location (if known)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email*
example@example.com
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.

Event Name
Campground WorkshopRV Rally / GatheringEducational SeminarCommunity EventOrganization/ClubOther
IndoorOutdoorOther
Expected Number of Attendees

Event Date

MonthDayYear
Date
Preferred Start Time

Hour Minutes

AM/PM Option
30 minutes1 hour1.5 hoursNot Sure Yet

RV Maintenance & Preventative CareRV Electrical Basics (AC / DC / Solar)Owner Education & Safety WalkthroughsDocumentation, Maintenance Records & Insurance ProtectionFull RV Owner Bootcamp / WorkshopOther
If Other, please describe your topic needs:

YesNoNot sure
If yes, please share your budget range:
CampsiteLodgingMileage/Travel ReimbursementTo be discussedNone

I understand this is a request and not a confirmed booking.
Upload an event flyer or agenda

Cancelof

Should be Empty: