Thank you for your invitation. Byron Katie is honored and considers it a great privilege to be invited to bring The Work to your community. Katie loves that we are able to work together to serve as many people as possible in our efforts to make the world a kinder, more peaceful place. So that we are best able to serve you, please fill in the following information:

Today's Date:*

MM / DD / YYYY

Requested Date & Year:*

MM / DD / YYYY

Organization:*

Street Address:*

City*

State*

Zip Code*

Country:*

Website:

Requestor's name:*

Title:

Email #1:*

Email #2:

Work Phone*

Cell Phone

Home Phone

FAX

Event Requested - check all that apply:

Weekend Workshop    1 Day Workshop    Evening Event    Lecture/Speaker    Book Signing    Fundraiser    Teleconference    Guest    Hosted Event for Katie    Other

If Other - please specify:

Event Location - Street Address:*

City*

State*

Zip Code*

Nearest Airport*

Event Contact - Name:*

Street Address:*

City*

State*

Zip Code*

Work Phone*

Home Phone

Cell Phone

FAX

Overview of Event / Description:*

You are extending this invitation to Byron Katie as an:*

Individual    Organization

If an organization, you are:*

Non-profit    For-profit    Church    Other

If Other, please describe:

What speaker fee, honorarium, or percentage of ticket sales from the event are you offering?*

Travel: Will you provide transportation? (Business Class preferred)*

Yes    No

Will you provide overnight accommodations for Katie?*

Yes    No

How do you plan to advertise and/or market this event? Please check all that apply and fill in the corresponding number of people reached:*

Newsletter    Website    Catalog/Brochure    TV/Radio    Newspaper    Public Event    Other

If Newsletter, how many on mailing list?

If Website, how many visits per day?

If Catalog/Brochure, how many on mailing list?

If TV/Radio, how many viewers/listeners?

If Newspaper, circulation?

If Public Event, kind & number of attendees?

If Other, please describe:

How many people do you expect to have in attendance?*

100-200   200-300   300-400   400-500   501-1000   1000+

Books: Do you have an onsite bookstore?:*

Yes   No

If not, is there space to sell Katie’s books onsite?:*

Yes   No

Please provide any additional relevant information here:

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