Email *

Name of Organization Requesting Robby's Attendance *

Phone *

Date of Show *

Name of the venue where event is hosted *

Is the venue confirmed? *

Yes

No

How many attendees are you expecting? *

What is your budget for an honorarium/speaking fee? *

Will you be live-streaming the event? *

Please describe the nature of Robby's participation. Will he be the keynote speaker, sitting on a panel, a secondary speaker? How much time is allotted for him to speak and will there be Q&A? Is there a specific topic you have in mind? *

Please explain the organization's/venue's masking and vaccine mandates, if any. *

Is the event open to the media? *

Yes

No

Please describe what kind of security will be at the event and if you're willing to provide a security point of contact for us to communicate with prior to the event. *