Book Tom

Please take a moment to complete and submit the questionnaire below. We suggest you print a copy for your records. A copy will be emailed to the address you provide. If you have any questions or concerns, please contact us or call us at 303-888-0147. We would also like to encourage you to send us your comments after your event.

Contact Information


Office Phone*

Contact Name*(required)

Cell Phone


Email* (required)


Address Line 1

Address Line 2




Is this person available to discuss the event
objectives and keynote content with Tom by phone?

If not, please provide the name and contact
information for the appropriate person:

Program Information

Event Theme & Objective

Audience Size

Audience Makeup

Suggest content to include

Sensitive subjects to avoid

Event Information

Venue Name

Venue Address & Phone Number

Report to speaking area by

What precedes Tom Yagos’ presentation?

Name and title of introducer

Presentation start time

Presentation end time

Total presentation time (not including introduction)

What follows Tom Yagos' presentation?

Will there be a book signing at your event?

Would you like to purchase products for your event?

Please check out our E-store

Will you be recording this event?

Is Tom Yagos welcome to bring a guest?

Audio/Video Information

A/V Company

A/V Specialist's Name

Office Phone

Cell Phone

A/V Contact's Email

Date and Time of Sound Check

Have you reviewed the A/V requirements?

If yes, do you have any questions or concerns about the A/V Requirements?

If "Yes", please explain your A/V concerns.

How many screens will there be?

Will it be front or rear projection?

Name and contact information of on-site liaison

Event Coordinator

Event Coordinator's contact


Client contact name



Office Phone

Cell Phone



Ground Transportation

Will ground transportation between the airport and the venue be provided?

Name of transportation service


Reservation number

Meeting place (for example, the baggage claim area)

Travel time from airport to hotel


Hotel name (if different than event venue)

Hotel address and phone number

Confirmation number

Check-in date

Check-out date