speaker request form

Need a speaker for your podcast, event, panel, or workshop? I bring a grounded, relatable presence and deep knowledge of mental health, healing, and personal growth. My warm, engaging style creates powerful moments of connection that leave audiences feeling seen and empowered to embrace themselves.

Name

First Name

Last Name

Phone

(###)

###

####

Organization

Organization Website

http://

What is your budget?

How did you hear about Angela?

If you selected "referral" or "other", in the previous question, please share the name of your referral source.

Service Needed

Proposed Event Date

YYYY

Event Location

Please specify if this is an in-person or virtual event.

Audience Size

Estimated Budget for Service ($USD) (required)

Please write n/a if there is no budget

Event Goals

Please share a brief description of how you envision us working together.

Message

speaker request form

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Angela Bracey

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