Speaker Request Form Inspire your audience to discover their purpose, develop their plan, and deliver their potential. Fill out the form below to invite Mensur to speak at your upcoming event. Speaker Request FormFirst NameLast NameEmailPhoneDate / TimeDo you have a speaker budget? Up to $2,500 $2,500 - $7,500 $7,500 - $10,000 $10,000 - $15,000Do you have a speaker budget? Reference from a colleague or friend Social Media Prior Event OtherAre there any additional details you would like to include about your upcoming event?Submit Form