Booking Info

To book Dan for your event:
  1. Submit Speaking Request Form
    Once you submit the Speaking Request Form, we will contact you and begin assisting you with any questions you may have.
  2. Sign, Complete and Return
    When you are ready to take the next step towards securing Dan for your event, we will email, fax or send you the Speaking Agreement and Event Questionnaire. Please return with instructed deposit amount.
  3. Dan is on his way!
    When we receive the signed Speaking Agreement, completed Event Questionnaire and deposit, we will sign and return the Speaking Agreement to you for your records.

Speaking Request Form

* Required Fields

First Name*

Last Name*



Street Address*




Work Number*   Ext.

Alt. Number   Ext.


Alt Email

Method of Contacting You

Best Time to Contact You

Purpose for Dan Speaking*

Interested Date(s)*

Additional Comments/Questions