Offer Form

Name *
Date of Event *
Date of Event
Location of Event/Venue
Location of Event/Venue
Please provide at least city and state if exact address is TBD.
Who would be responsible, on your end, for signing the contract and completing payment.
More info about number of talks or amount of music can be explained in the message.
This is for the stipend only, not including travel. Host will also be responsible for airfare, lodging, and meals.
Feel free to include any important info, such as the purpose of your event.