Guest Speaker Form

Guest Speaker Interest Form

Name

Title/Type of Practitioner/Healer or Coach

* Email Address

* Company Name

Mobile Number

* Do you serve clients in the United States?

Yes

(Wellness Hub is currently focusing on the U.S. Market)

* Do you offer your services virtually or in a given location? (If you are a local provider, What is your Geographic Emphasis)

Where are you located?(ie. City, State)

What is your timezone?

Website Address

* Who is your target audience?

What do you offer/sell?

* Proposed Topic

Key Pain Points Your Niche Encounter

Results/Transformation You Help Your Clients Achieve

Class Title Suggestions

Talk/Class Description (what will you cover)

Please list any Questions that would be good to ask you during the Conversation/Interview

Professional Background/Qualifications/Years of Experience description:

Paragraph Introduction/Bio (Up to 2000 Characters):

Link where people can learn more about you:

Free Offer or Opt-in Description and Link

How would you plan to help promote the Wellness Hub Class/Event?

Email List Size

Social Media Following Description

IMPORTANT NOTE: Please email your headshot photo (Recommended size is 200px by 200px) to info@wellnesshub.us

Would you like to be added to our email list? Join Here

Note: Wellness Hub’s Monthly Virtual Classes are held the second Thursday of the month at 4 p.m. EST.

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