Bring Dr. Scott's Transformative Message to Your Audience

Fill out this form as completely as possible to allow us to obtain information about your event.

First Name

Last Name

Phone

Company/Organization

Website

Date of Your Event?

Location of Event (City/State)?

Specific Purpose of Your Event?

Number Attending Event (estimate)

1-100

101-300

301-1000

1001-5000

More than 5000

Specific Purpose of Your Event?

How Did You Hear About Manny?

What Best Describes You?

I am an educator — superintendent, principal, teacher.

I am a meeting planner — for a conference or convention.

I work for a non-profit organization.

Comments/Inquiry