FORMAL SPEAKER INVITATION FORM

(Provide the name of host organization, street address, city state, zip code)
(Type: Lecture, Reading, On-stage Conversation/Interview. Include full schedule and times, and ALL ACTIVITIES – including receptions, dinners, signings, class visits, etc.)
NOTE: In addition to honorarium, Sponsor agrees to pay the following travel expenses: Round trip first- or business-class flights (If the purchase of first or business-class flights are prohibited by your organization, please note above), hotel, meals, commercial/licensed local and airport car service in event city, and airport transportation in departure and home cities. Sponsor will assume the cost of ONE change; costs associated with subsequent changes will be the responsibility of the Speaker.
(Please also indicate distance from airport to venue)
(Please provide name, address, phone and website if available)
If Applicable
If Applicable

Sponsor Contact Information

Signature

Signature
Date