Welcome to the Talk Boutique roster!

Talk Boutique is proud to have you appear on our roster.

We’d like to get to know you just a little bit better, so we can provide you with the best possible service. Kindly complete this brief questionnaire.


    Your Name (required)

    Title (as you would like it to appear on our Roster):

    Tagline Words (4-5 words ex “Author, Peacekeeper, and International Spy”):

    What languages you present in?

    Your Email (required)

    Phone (required)

    Billing Address

    When is the best time to contact you?


    Emergency contact (name, phone, email)

    In which city do you currently live?

    Date of Birth (Year/Month/Day) (required)



    Talk Boutique would like to formally announce and welcome you to our roster via our social channels.

    Do we have permission to welcome you to the Talk Boutique roster by:

    Blog PostSocial Media PostEmail Newsletter

    Are you exclusively represented by any of the bureaus that currently represent you? YesNo

    If yes by whom?



    If you have already provided these documents please skip to the next section. If these documents aren't available right now please send them to marylou@talkboutique.com when they are ready.

    Please attach a high-res headshot (jpg, jpeg, png)

    Please attach your biography (500 words maximum (doc, docx, pdf)

    Please attach your keynote topic(s) and descriptions (doc, docx, pdf)

    Video links that you would like to showcase on your roster page:



    What is your website URL?


    Facebook Business Page






    Please confirm the following for transportation options

    I have a valid Driver's licenseI have access to my own vehicleI prefer transit/taxi/Uber/car service

    Full name as it appears on passport (required)

    Preferred airport in home city

    Preferred airline

    Preferred airline seating

    Aisle seatWindow Seat

    If you have Nexus please provide details here

    Frequent flyer program details (Name, number etc)

    Hotel Loyalty program

    Dietary requirements

    Any accessibility considerations



    Please provide some information / a few bullet points that we can use for your stage introduction:

    Microphone preference


    How will you provide speaker support?

    Own laptopMemory stickEmail

    Are you providing a laptop from which to run your speaker support?


    What operating system do you have on your laptop


    What file format is your speaker support presentation in?

    Power PointKeynoteOther

    What version of the speaker support software are you using?

    How will you advance your slides?

    Laptop on stageWireless cue (Pickle)

    Do you have a French version of your speaker support?


    Do you have videos as part of your presentation?


    Are videos embedded in speaker support file?


    What file formats do you have the videos in?

    Would you like us to request a chair/stool for your presentation?

    Any AV requests/suggestions?