[] 1 Step 1 Rashad Appointment FormPlease complete the form below to request for Rashad Mills to be apart of your eventIncomplete Submissions will not be considered. Your Nameyour full name Your Email Date of Bookingof appointment Number of Peoplepick one!123456+ Phonemore details0 / Companymore details0 / Company Street Adressmore details0 / Company Citymore details0 / Company Statemore details0 / Company Postel Codemore details0 / Event Date(S) of Interestmore details0 / Organization Typepick one!Middle School High School College/UniversityNon-Profit-ReligiousNon-Profit- Non-ReligiousCorporate Projected Budget For Securing Servicespick one!$0-5K$10-20K$20-30K$30-40K$40-50K$50K plus Venue-Name of Facilitymore details0 / Venue Address/Location0 / Event Namemore details0 / Purpose Of Eventmore details0 / Event Timemore details0 / Topic Choosen For Presentationmore details0 / What Time(s) do the Session(s) begin and what are requested duration(s)?more details0 / Planned Number of people Attendingpick one!Under 500500-10001000-30003000-50005000 Plus Event Attendee Demographicsmore details0 / Will This event be open to Public?pick one!YesNo Will Tickets be Sold for this Event?pick one!YesNo Do you intend to record or live Stream the Eventpick one!YesNo Can Products be sold at this Event?pick one!Yes No Event Contact Namemore details0 / Event Contact Detailsmore details0 / Request Event Previous Next
