647-725-7760

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.

 

PERSONAL INFORMATION


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?
MorningAfternoonEvening

Emergency contact (name, phone, email)

In which city do you currently live?

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

 

PERMISSIONS


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:

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

If yes by whom?

 

DOCUMENTS


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:

 

SOCIAL MEDIA


What is your website URL?

LinkedIn

Facebook Business Page

Twitter

Instagram

YouTube

 

TRAVEL


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

 

AUDIOVISUAL


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

Microphone preference
LavalierPodiumHandheld

How will you provide speaker support?
Own laptopMemory stickEmail

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

What operating system do you have on your laptop
MacWindowsOther

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?
YesNo

Do you have videos as part of your presentation?
YesNo

Are videos embedded in speaker support file?
YesNo

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?