Gray & Company, Publishers

Speaker Request Form:
Dan Coughlin

Please fill out the form below to submit a request to have Dan Coughlin speak to your group or organization. Dan Coughlin will be notified of your request, and a response will be sent to you via your preferred method of communication.

Please fill in all the fields, the more information you provide, the quicker you will receive a response.

If you have any questions, please visit our FAQ page, or contact us at promotons@grayco.com.

Bold fields are required.

Personal Information



Phone
Email
Mail
Group Information






Event Information

Just in case your first date is not available

Location address is the same as the Group address.





Public
Private
Author Request
Crazy, With the Papers to Prove It
Other
Comments / Special Requests
Please include any comments or special requests for the speaker.
General Information

Please note that all authors do charge a speaking fee to cover their time and travel.

If you are interested in selling books to raise funds, or offset costs, please visit Group Sales page for more information.

If you experience any problems with this form, please feel free to contact Chris at promotons@grayco.com.

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