HomeBiographyPresentationsMeeting PlannersBooking InformationMediaResources

Request Booking Information

Online Form

Interested in booking Michelle to speak at your next event? Just want more information on Michelle and her presentations? Fill out the form below and we�ll be in touch to discuss the specifics of your event and to answer any of your questions. Feel free to call us directly at 860.460.3591 or email us at michelle@michelleydrake.com

Tell us about yourself:
(* denotes required fields)
First Name *
         Last Name *
State       Zip
Phone *
Email *

Please select your area of interest:
(Select all that apply.)
"Sales Performance"
"Leadership Development"
"Team Dynamics"
"Customer Service"
Other: Please Describe:

Program Length/Type:
(Select all that apply.)
Keynote Address � 30 to 60 minutes
Half-Day Workshops � Up to 4 hours
Full-Day Workshops � Up to 8 hours
Executive Coaching
Would you like a Speaker's Kit sent to you?
Yes No
Projected Audience Size:
Date of Event:
- Or: To Be Determined
Time of Event:
- Or Specify:
Handouts and/or Take-Away Materials:

Additional Comments:
Enter the code shown above
More Info

�Strong reasons make strong actions.� � William Shakespeare