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Host / Speaker Application

Please complete the application to get a call back for more details about Tafiq's Host + Speaker services.

Expect a call back within 24 hours.

Click the button below to start.

Start

Question 1 of 6

Full Name

Question 2 of 6

Best Contact Phone Number + Best Time To reach You

Question 3 of 6

Best Email To Reach You

Question 4 of 6

Service Of Interest

A

Lunch N' Learn

B

Workshop

C

Health & Wellness Program

D

Event Host / Speaker

E

Other

Question 5 of 6

Date Of Event (if applicable)

Question 6 of 6

Budget

Confirm and Submit