To hire Cassandra for your next event, please complete the form below in its entirety and click on the Request Cassandra Burckhalter button at the bottom of the form. A representative will contact you within 3 business days.
Your Contact Information
Requestor’s Name
Title
Company
Street Address
City
State
Zip Code
Phone Number
FAX
Email
What are your needs? MC, Speaker (Keynote, Workshop, Panel), or Facilitator
Conference/Event Theme
Conference/Event Location
Conference/Event Date, Start & End time
Who will comprise the audience?
Anticipated number of Conference/Event attendees
Will the event be recorded (video or audio)?
Anticipated number of media attendees
Budget allocated
Deadline date for our response to participate in your event