Speaking Engagement Request

Metropolitan Marriage & Family Therapy, PLLC

280 Madison Avenue @ 40th Street, Suite 208
New York, NY 10016

888-880-9055

212-537-9055

Congratulations! You are about to make a huge difference in your event when you dazzle your
audience with Emma's powerful presentations!

When you send us a request for booking Emma you will receive a call from us by the next
business day to answer any questions you might have and set the speaking date.

Thank you for considering Emma for speaking at your event. We look forward to speaking with
you!!

Note: You'll be added to our subscription list! Enjoy!!

Please provide the following information (*Required)

Full Name:*

Affiliation:*

Topic of Discussion:*

Brief Description of Target Population and Audience's Needs:*

Location of Event:*

Date of Event:*

E-mail Address:*

Day Phone Number:*

Evening Phone Number:*

Mobile Phone Number:

Any Other Pertinent Information or Questions:

Thank you for inviting Emma to speak at your Event!

Congratulations on taking the step to dazzle your audience and welcome to our MetroRelationship Family!

We will contact you shortly to discuss your needs and the details of your event.

Working with you is very important to us! We look forward to speaking with you!!

Click Here to return to the homepage.