Welcome to Bra Willy’s 2017 booking form for interviews, speaking and panel discussion services.

 

 

First, About Me

Click here for my bio.

You can also view my YouTube Channel playlist of media interviews here:

 

 

Ready? Fill in Bra Willy booking form:

 

First Name*

Last Name*

Email Address*

Website

Country*

Event Title *

Date of Event*
 
From:

 
To:

Event Venue*

Type of Event*
 
Media InterviewCorporatePublic - PayingPublic - FreeAcademic - PayingAcademic - FreeOther

Event Description*

Type of Audience*
 
ProfessionalsCompany EmployeesMembers of a Social ClubReligious GroupStudentsAll Members of the PublicOther

Audience Size*
 
Less than 50Between 50 and 100Between 100 and 200Between 200 and 500More than 500

Format for Bra Willy's Participation*
 
Media InterviewOne-on-One InterviewPanel DiscussionJudgingPresentationOther

Theme for Bra Willy's Preparation*

Bra Willy's Slot*
Date:

Time:

Upload Event Information, e.g. Brochure, If Available

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