Geraldine Cox

Event Booking Form

Please use the below form to register your expression of interest for Geraldine to speak at your event.

Please note that all speaking engagements by Geraldine Cox are designed not only to inspire your group, but also to raise money for the Sunrise Children's Village. As a result, most speaking engagements incur a fee. Fees are negotiable, but must include economy airfares, three
star hotel accommodation and ground transportation.

Fees when agreed are made as a tax deductible donation to Sunrise Children's Village and Geraldine does not personally benefit financially from your donation
* denotes a mandatory field
Contact Details
* First Name:
* Surname:
* Email address:
Organisation Name:
Street Address - Line 1:
Street Address - Line 2:
Suburb:
State:
Postcode:
Country:
Contact Phone Number
Please include country and area code. Example: +61 2 1111 2222
* please note that at least one contact phone number must be given
Mobile:
Work:
Home:
Other:
 
Event Details
Interested Event Dates
Preference 1:
Preference 2:
Preference 3:
   
Topic/Theme of Event:
Number of expected people in attendance:
Comments:
Please include as many additional details about your event in the text box below: